Individual
DARA MICHELLE GROBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(800) 836-7536
Mailing address
1405 W WOODBANK WAY, WEST CHESTER, PA 19380-1750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT023301
PA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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