OrganizationCharles R Grubb Do PcFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address311 Baltimore St, Phillipsburg, NJ 08865(908) 454-8787PECOS EnrollmentBased on the most recent information from CMS, provider Charles R Grubb Do Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1114004546Provider TypeOrganizationFull NameCharles R Grubb Do PcSubpartNoEnumeration Date11/1/2006Last Updated4/26/2019Contact InformationPractice LocationPractice Address311 Baltimore St, Phillipsburg, NJ 08865Phone(908) 454-8787Fax(908) 454-1192Mailing LocationMailing Address311 Baltimore St, Phillipsburg, NJ 08865-1627Phone(908) 454-8787Fax(908) 454-1192Authorized OfficialNameKoukias, Maryann (Office Manager)Phone(908) 454-8787Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense25MB033577New JerseyProvider IdentifiersIDDescriptionIssuerID02292400DescriptionOtherIssuerCAPITAL BLUE CROSSPennsylvania