Individual
EVANGELINE GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
270 COMMERCE DR, SUITE 250, FORT WASHINGTON, PA 19034-2405
(215) 653-0600
(215) 646-4422
Mailing address
270 COMMERCE DR, SUITE 250, FORT WASHINGTON, PA 19034-2405
(215) 653-0600
(215) 646-4422
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD060329-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD060329-L
MEDICAL LICENSE
PA
Enumeration date
08/11/2005
Last updated
03/07/2023
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