Elliot J Gruen in Lewiston - Psychiatry

Elliot J Gruen - NPI 1295760106

Elliot J Gruen is a Psychiatry in Lewiston, Maine. Elliot J Gruen practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Elliot J Gruen is 1295760106. The last update date is 2021-02-25.

Elliot J Gruen's current location address is 100 Campus Ave, Lewiston, Maine. You can contact this provider via phone number 2077778974 and fax number 2077778946. The mailing address for Elliot J Gruen is 100 Campus Ave, Lewiston, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Elliot J Gruen
Address 100 Campus Ave, Lewiston, Maine
Phone Number 2077778974
Fax Number 2077778946
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1295760106
Provider Enumeration Date 2006-07-11
Last Updated Date 2021-02-25

Provider Mailing Address Detail

Address 100 Campus Ave
City Lewiston
State Maine (ME)
Post Code 42406040
Phone Number 2077778974
Fax Number 2077778946

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 1457
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
287190099 ME --

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FAQs about Elliot J Gruen

What is the unique 10-digit identifier code assigned to Elliot J Gruen by the Centers for Medicare & Medicaid Services?

The Elliot J Gruen has been issued the NPI (National Provider Identifier) 1295760106 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Elliot J Gruen's facilities are geographically located?

The facilities of Elliot J Gruen are physically situated at the following location: 100 Campus Ave, Lewiston, ME, 42406040.

What is the area of specialization for Elliot J Gruen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Elliot J Gruen is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services assign the 1295760106 to Elliot J Gruen?

The Centers for Medicare & Medicaid Services assigned the 1295760106 to Elliot J Gruen on 2006-07-11.

As of what date were the details related to Elliot J Gruen most recently updated or revised?

The information pertaining to Elliot J Gruen, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-25.

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