Mark T Grusso in Phillipsburg - Podiatrist

Mark T Grusso - NPI 1144260175

Mark T Grusso is a Podiatrist in Phillipsburg, New Jersey. Mark T Grusso practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mark T Grusso is 1144260175. The last update date is 2017-03-02.

Mark T Grusso's current location address is 409 Coventry Dr, Phillipsburg, New Jersey. You can contact this provider via phone number 9082130029 and fax number 9082139393. The mailing address for Mark T Grusso is 409 Coventry Dr, Phillipsburg, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark T Grusso
Address 409 Coventry Dr, Phillipsburg, New Jersey
Phone Number 9082130029
Fax Number 9082139393
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1144260175
Provider Enumeration Date 2006-06-07
Last Updated Date 2017-03-02

Provider Mailing Address Detail

Address 409 Coventry Dr
City Phillipsburg
State New Jersey (NJ)
Post Code 88651969
Phone Number 9082130029
Fax Number 9082139393

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No MD01998
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
37702 NJ --
P00074810 NJ RAILROAD MEDICARE

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FAQs about Mark T Grusso

What is the Mark T Grusso's unique identification number?

The Mark T Grusso has been assigned the NPI (National Provider Identifier) Number 1144260175 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Mark T Grusso is physically located?

The Mark T Grusso is situated at the following address: 409 Coventry Dr, Phillipsburg, NJ 88651969.

What is Mark T Grusso's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark T Grusso's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1144260175 to Mark T Grusso?

The Centers for Medicare & Medicaid Services originally issued the 1144260175 to Mark T Grusso on 2006-06-07.

As of what date were the details pertaining to Mark T Grusso last refreshed?

The information related to the Mark T Grusso, including its address, specialty, and other relevant details, was last updated on 2017-03-02.

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