Individual
DR. JYOTISH GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN HOSPITAL, LEWISTOWN, PA 17044-1167
(717) 242-7121
Mailing address
118 N BEDFORD RD, SUITE 200, MOUNT KISCO, NY 10549-2553
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD071002L
PA
208VP0014X
Interventional Pain Medicine Physician
MD071002L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01803261
—
PA
Enumeration date
10/04/2005
Last updated
08/13/2013
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