Individual
DR. JEFFREY M GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
184 MAIN ST, EMMAUS, PA 18049
(610) 967-4600
(610) 967-4600
Mailing address
184 MAIN ST, EMMAUS, PA 18049
(610) 967-4600
(610) 967-4600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005115P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030554
USHC
—
Enumeration date
03/05/2007
Last updated
01/25/2010
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