Individual
BRANDT P GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 233-4082
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(800) 233-4082
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
MD063083L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016591120005
—
PA
Enumeration date
05/19/2006
Last updated
10/15/2009
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