Provider Demographics
NPI:1710220090
Name:GRAU, LUIS C (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:C
Last Name:GRAU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:90 MATAWAN RD STE 302
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2653
Mailing Address - Country:US
Mailing Address - Phone:732-441-7177
Mailing Address - Fax:732-441-7165
Practice Address - Street 1:146 N STATE RT 17 STE 2
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1071
Practice Address - Country:US
Practice Address - Phone:732-906-9600
Practice Address - Fax:833-974-2196
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2024-12-02
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA10304600207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery