Mark Vincent Grudberg (NPI# 1932339157, PAC ID# 7719109735) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1932339157 |
| PAC ID by PECOS | 7719109735 |
| Professional Enrollment ID | I20141106001894 |
| Full Name | Mark Vincent Grudberg |
| Address |
35 Elm St Suite 1b New Haven CT 06510-2023 |
| Phone Number | 8883426002 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 35 Elm St, Suite 1b, New Haven, CT 06510-2023 | 8883426002 |
| Street Address |
35 ELM ST SUITE 1B |
| City | NEW HAVEN |
| State | CT |
| Zip | 06510-2023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie K Carey | Optometry | Leslie K Carey Od LLC | 35 Elm St, Danvers, MA 01923-2853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy D Olson | Psychiatry | 47 Trumbull St, Suite 2, New Haven, CT 06510-1004 | |
| Deborah Fried | Psychiatry | 47 Trumbull St, New Haven, CT 06510-1004 | |
| Bronce J Rice | Psychologist, Clinical | 62 Trumbull St, New Haven, CT 06510-1022 | |
| Robert S White | Psychiatry | 64 Trumbull St, New Haven, CT 06510-1028 | |
| Robert A Horwitz | Psychologist, Clinical | 258 Bradley St Level A, New Haven, CT 06510-1106 | |
| Tsilia Glinberg | Psychiatry | 258 Bradley St, New Haven, CT 06510-1106 | |
| Elinor R Kotchen | Clinical Social Worker | 258 Bradley St, New Haven, CT 06510-1106 | |
| Rita Mccleary | Psychologist, Clinical | 240 Bradley St, New Haven, CT 06510-1108 | |
| Amy E Goldfarb | Psychologist, Clinical | 240 Bradley St, New Haven, CT 06510-1108 | |
| Diana Page Congdon | Nurse Practitioner | 240 Bradley St, Suite 2, New Haven, CT 06510-1108 | |
| Find all physicians in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | NEW HAVEN + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Mark Vincent Grudberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.