Provider Demographics
NPI:1770659831
Name:GELSOMINI GRUBER, RITA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:MARIA
Last Name:GELSOMINI GRUBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:MARIA
Other - Last Name:GRUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1145 SAGAMORE AVE
Mailing Address - Street 2:SEACOAST MENTAL HEALTH CENTER
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5503
Mailing Address - Country:US
Mailing Address - Phone:603-431-6703
Mailing Address - Fax:603-433-5078
Practice Address - Street 1:1145 SAGAMORE AVE
Practice Address - Street 2:SEACOAST MENTAL HEALTH CENTER
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5503
Practice Address - Country:US
Practice Address - Phone:603-431-6703
Practice Address - Fax:603-433-5078
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH122572084P0800X, 2084P0804X
VT04200107422084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry