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NPI Code Detail

MEDICARE: JORDAN A GRUSKAY M.D.

MEDICARE: JORDAN A GRUSKAY 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
1207X00000XOrthopaedic Surgery Physician67229CT
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician67229CT

General Provider Information

NPI Number : 1922494343
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN A GRUSKAY M.D.
Provider Business Mailing Address
First Line : 2408 WHITNEY AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3209
Country : US
Telephone Number : 203-626-0160
Fax Number : 203-294-6734
Provider Business Practice Location Address
First Line : 84 N MAIN ST
Second Line :
City : BRANFORD
State : CT
Zip : 06405-3061
Country : US
Telephone Number : 203-407-3583
Fax Number : 203-601-8598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2015
Last Update Date : 02/17/2026

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Directions to “ JORDAN A GRUSKAY M.D.” Practice Location

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