Active NPIIndividual providerSole proprietor

Dr. Charles R Grubb, DO

Family Medicine in Easton, Pennsylvania

NPI Number1780644831
Practice location
3794 Hecktown RD Ste 250, Easton, PA 18045-2355
Fax
—
Last updated
September 26, 2022

Charles R Grubb is a Family Medicine based in Easton, PA. Charles R Grubb practices in Easton, PA and has the professional credentials of DO. The NPI Number for Charles R Grubb is 1780644831 and holds a License No. 25MB03357700 (NJ). The current practice location address for Charles R Grubb is 3794 Hecktown RD Ste 250, Easton, PA 18045-2355 and can be reached out via phone at 484-544-0122.

Provider Profile Details

NPI Number
1780644831
Provider Name
Charles R Grubb
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3794 Hecktown RD Ste 250, Easton, PA 18045-2355
Phone Number
484-544-0122
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2006
Last Update Date
September 26, 2022
Certification Date
September 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3794 Hecktown RD Ste 250
Easton, PA 18045-2355
City
Easton
Zip
18045-2355
Phone Number
484-544-0122
Easton, PA 18045Get directions →

Provider Business Mailing Address Details

Address
311 Baltimore St
Phillipsburg, NJ 08865-1841
City
Phillipsburg
State
NJ
Zip
08865-1841
Phone Number
908-454-8787
Fax Number
908-454-1192

License Information

License Number (1)
25MB03357700
License State (1)
NJ
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
OS003693L
License State (2)
PA
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Charles R Grubb, DO?

The NPI number of Dr. Charles R Grubb, DO is 1780644831. It was assigned on March 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles R Grubb, DO?

Dr. Charles R Grubb, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB03357700.

Where does Dr. Charles R Grubb, DO practice?

The practice location is 3794 Hecktown RD Ste 250, Easton, PA 18045-2355. The office can be reached at 484-544-0122 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780644831 directly on the NPPES registry website.

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