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Individual

MONIKA H GROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
121 S TAN ALY, FREDERICKSBURG, PA 17026-9349
(717) 865-7225
(717) 865-3154
Mailing address
PO BOX 369, 121 SOUTH TAN ALLEY, FREDERICKSBURG, PA 17026-0369
(717) 273-1227

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000859
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
066141000
NSC#
PA
01
40540
DAVIS VISION
PA
01
FR1392866
BLUE SHIELD (PENNVISION)
PA
Enumeration date
07/24/2006
Last updated
07/22/2011
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