MEDICARE: DR. CLAUDIA BETH GRUSS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	023644	CT
2	207R00000X	Internal Medicine Physician	023644	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548207194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDIA BETH GRUSS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 270
Second Line	:
City	:	GEORGETOWN
State	:	CT
Zip	:	06829-0270
Country	:	US
Telephone Number	:	203-544-9517
Fax Number	:	203-544-9568

Provider Business Practice Location Address
First Line	:	73 REDDING RD
Second Line	:
City	:	REDDING
State	:	CT
Zip	:	06896-3210
Country	:	US
Telephone Number	:	203-544-9517
Fax Number	:	203-544-9568

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	12/03/2013

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