Dr. Peter J Gruber
Cardiothoracic Vascular Surgeon
330 Cedar St Fl Bb2
New Haven
, Connecticut 06510
Dr. Peter J Gruber
Cardiothoracic Vascular Surgeon
330 Cedar St Fl Bb2
New Haven
, Connecticut 06510
(610) 888-9455
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Peter J Gruber
- 668 Milton Rd Apt A
- Rye, NY
- Zip : 10580-3227
- Phone : (610) 888-9455
Second Address
- Dr. Peter J Gruber
- 330 Cedar St Fl Bb2
- New Haven, CT
- Zip : 06510
- Phone : (610) 888-9455
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 57299 | CT |
National Provider Identifier
| NPI | 1053409458 |
|---|---|
| Provider Name | Dr. Peter J Gruber |
| First Address | Rye, NY 10580-3227 |
| Second Address | New Haven, CT 06510 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 27/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1053409458 | (05) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.