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Organization
JENNIFER GRODBERG MD, PLLC
Active
Organization
JENNIFER GRODBERG MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BETH GRODBERG M.D. (OWNER)
(718) 360-5379
Entity
Organization
Contact information
Practice address
68 JAY ST, SUITE 507, BROOKLYN, NY 11201-1186
(718) 360-5379
Mailing address
68 JAY ST, SUITE 507, BROOKLYN, NY 11201-1186
(718) 360-5379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219831
NY
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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