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Organization
ROGER L GROVES, MD PC
Active
Organization
ROGER L GROVES, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER L GROVES MD (PRESIDENT)
(610) 647-1204
Entity
Organization
Contact information
Practice address
250 W LANCASTER AVE, SUITE 215, PAOLI, PA 19301-1751
(610) 647-1204
(610) 647-1240
Mailing address
250 W LANCASTER AVE, SUITE 215, PAOLI, PA 19301-1751
(610) 647-1204
(610) 647-1240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD033248L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000104868802
UNITED HEALTHCARE
PA
05
—
0010037310005
—
PA
01
—
0026452000
AMERIHEALTH
PA
01
—
0100373102
AMERICHOICE
PA
01
—
0875497
CIGNA
PA
01
—
122794
INDEP BLUE CROSS
PA
01
—
2454668001
KEYSTONE
PA
01
—
255202
HEALTH AMERICA
PA
01
—
30019442
KEYSTONE MERCY
PA
01
—
4092568
AETNA
PA
Enumeration date
05/01/2006
Last updated
07/24/2012
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