Individual
DR. PAMELA C GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 PENBROOKE DR, SUITE #6, PENFIELD, NY 14526-2045
(585) 623-4430
(585) 623-4436
Mailing address
421 PENBROOKE DR, SUITE #6, PENFIELD, NY 14526-2045
(585) 623-4430
(585) 623-4436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME81917
FL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
271328
NY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
271328-1
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080171075
RAILROAD MEDICARE PROVIDER NUMBER
FL
05
—
261611400
—
FL
Enumeration date
05/23/2006
Last updated
06/15/2015
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