Provider Demographics
NPI:1548207194
Name:GRUSS, CLAUDIA BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:BETH
Last Name:GRUSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06829-0270
Mailing Address - Country:US
Mailing Address - Phone:203-544-9517
Mailing Address - Fax:203-544-9568
Practice Address - Street 1:73 REDDING RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CT
Practice Address - Zip Code:06896-3210
Practice Address - Country:US
Practice Address - Phone:203-544-9517
Practice Address - Fax:203-544-9568
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT023644207RG0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001236447Medicaid
CT100000298Medicare ID - Type Unspecified
CT001236447Medicaid