Organization
CHARLES E. GRONCY, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E. GRONCY MD (PRESIDENT)
(714) 680-6220
Entity
Organization
Contact information
Practice address
301 W BASTANCHURY RD, SUITE 25, FULLERTON, CA 92835-3419
(714) 680-6220
(714) 680-3893
Mailing address
301 W BASTANCHURY RD, SUITE 25, FULLERTON, CA 92835-3419
(714) 680-6220
(714) 680-3893
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
C36424
CA
Other
Enumeration date
07/29/2006
Last updated
11/14/2008
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