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1144260175
MARK T GRUSSO
PHILLIPSBURG, NJ
NPI
1144260175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: NJ MD01998)
Enumeration Date
2006-06-07
Last Update Date
2017-03-02
Business Address
-- MARK T GRUSSO DPM
409 COVENTRY DR
PHILLIPSBURG, NJ 08865-1969
Phone number: 908-213-0029
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Mailing Address
-- MARK T GRUSSO DPM
409 COVENTRY DR
PHILLIPSBURG, NJ 08865-1969
Phone number: 908-213-0029
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