Individual
DR. JENNIFER SMITH GROZALIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
680 HEACOCK RD, SUITE 204, YARDLEY, PA 19067-6346
(215) 321-9798
Mailing address
1424 HEATHER RIDGE DR, NEWTOWN, PA 18940-3732
(215) 504-0811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007698L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000172371
IND BLUE CROSS
PA
01
—
0083599000
BLUE SHIELD
PA
01
—
2437145
AETNA HMO
PA
01
—
7881159
AETNA TRADITIONAL PIN
PA
Enumeration date
03/30/2006
Last updated
07/08/2007
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