MRS. Maribeth Clark Gruhn

NPI #1366868838 in Northport, New York

Provider Information

NPI Number: 1366868838
Entity Type: Individual
Name: MRS. Maribeth Clark Gruhn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Mar 8, 2014
Last Updated: Mar 8, 2014

Practice Location

Address: 27 MARINERS LN
City: Northport
State: New York
ZIP Code: 11768-1626
Phone: (631) 261-3281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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