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Individual
MR. ROBERT H GROZALIS JR.
Active
Individual
MR. ROBERT H GROZALIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT005886
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011559410001
—
PA
01
—
2342258000
INDEPENDENCE BC
PA
01
—
3573618
AETNA
PA
Enumeration date
09/16/2006
Last updated
07/08/2007
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