Provider Demographics
NPI:1952471138
Name:GRUBER, GARY S (ND)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:S
Last Name:GRUBER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 OLD STAMFORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-6247
Mailing Address - Country:US
Mailing Address - Phone:203-966-6360
Mailing Address - Fax:
Practice Address - Street 1:68 OLD STAMFORD RD
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-6247
Practice Address - Country:US
Practice Address - Phone:203-966-6360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000319175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath