Individual provider · Type 1 NPI

Peter J. Gruca, PA-C

Surgical Physician Assistant · Manchester, CT

NPI number 1659330595 Active

Practice location

71 Haynes St, Suite 1209
Manchester, CT 06040-4131

Call (860) 533-6595 Map

Other practice locations

  • 15564 Westchester Commons Way, Midlothian, VA 23113-7321 · (804) 440-4878

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X001015 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1659330595

Peter J. Gruca, PA-C's National Provider Identifier is 1659330595, issued on Mar 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Manchester, CT. The record was last updated on Oct 30, 2020.