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Kenneth E. Grullon, MD
Obstetrics & Gynecology Physician in Antioch, California
NPI 1801974977

Kenneth E. Grullon is a Obstetrics & Gynecology Physician based in Oakland, CA. Kenneth E. Grullon practices in Antioch, CA and has the professional credentials of MD. The NPI Number for Kenneth E. Grullon is 1801974977 and holds a License No. G76376 (California).

The current practice location address for Kenneth E. Grullon is 3400 Delta Fair Blvd, Antioch, CA and can be reached out via phone at 925-779-5000.

Location: 3400 Delta Fair Blvd, Antioch, CA, 94612-3466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801974977
Provider Name
Kenneth E. Grullon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3400 Delta Fair Blvd, Antioch, CA, 94612-3466
Phone Number
925-779-5000
Fax Number
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G763760 05 CA
institution
Provider Business Practice Location Address Details
Address
3400 Delta Fair Blvd
City
Antioch
State
California
Zip
94509-4004
Phone Number
925-779-5000
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Delta Fair Blvd
City
Antioch
State
California
Zip
94509-4004
Phone Number
925-779-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
G76376 (California)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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