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Organization

JONATHAN M GROHSMAN MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA H HUD (OFFICE MANAGER)
(215) 576-5090
Entity
Organization

Contact information

Practice address
261 OLD YORK RD STE 520, JENKINTOWN, PA 19046-3721
(215) 576-5090
(215) 886-5480
Mailing address
261 OLD YORK RD STE 520, JENKINTOWN, PA 19046-3721
(215) 576-5090
(215) 886-5480

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD038112L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2314225000
BLUE CROSS
PA
Enumeration date
09/19/2007
Last updated
09/19/2007
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