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Individual
SAMUEL ROBERT GRODOFSKY
Active
Individual
SAMUEL ROBERT GRODOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD451221
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD451221
PA
Other
Enumeration date
04/21/2010
Last updated
12/26/2019
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