Search › New Jersey › 1041C0700X
Jordan Gruschow
NPI 1659155307 · on the registry since 2023 · sole proprietor
Practice
- Address
- 550 Emker Ter
Ridgewood, NJ 07450 - Phone
- (585) 415-3631
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey