Individual
JAN CASIMIR GROBLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
118 DUDLEY ST, PROVIDENCE, RI 02905-2403
(401) 274-2300
Mailing address
118 DUDLEY ST, PROVIDENCE, RI 02905-2403
(401) 274-2300
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
MD037214
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JG76274
—
RI
Enumeration date
06/09/2008
Last updated
07/22/2014
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