Individual
MR. JASON E. GROMOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D., C.D.N
Contact information
Practice address
206 SPRINGDALE WAY, ROTTERDAM, NY 12306-5606
(518) 250-3898
Mailing address
206 SPRINGDALE WAY, ROTTERDAM, NY 12306-5606
(518) 250-3898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007243
NY
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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