| Doctor Name: | DR. RONALD GRUZIN |
| NPI Number: | 1235180472 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS007889L |
| Business Practice Address: | 2835 Tyson Ave Philadelphia, PA - 191491415 |
| Business Phone Number: | 2156241080 |
| Business Fax Number: | |
| Mailing Address: | 4642 Hillside Ave, BENSALEM |
| State: | PA |
| Postal Code: | 190201103 |
| Phone Number: | 2156241080 |
| Fax Number: | |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS007889L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |