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Individual

DR. GERALD D GROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3284
(607) 547-6684
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3284
(607) 547-6684

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
135606
NY
207RR0500X
Rheumatology Physician
Primary
135606
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01162945
NY
Enumeration date
04/26/2006
Last updated
11/05/2008
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