Individual
GUIRLETTE GRODECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-4272
Mailing address
175 PUGH RD, WAYNE, PA 19087-5328
(610) 341-9394
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD055523L
PA
Other
Enumeration date
09/11/2006
Last updated
08/06/2014
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