Organization
ATLANTIC COLON & RECTAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER L. GROFF M.D. (PRES.)
(908) 598-0220
Entity
Organization
Contact information
Practice address
33 OVERLOOK RD, SUITE 412, SUMMIT, NJ 07901-3570
(908) 598-0220
(908) 598-0415
Mailing address
33 OVERLOOK RD, SUITE 412, SUMMIT, NJ 07901-3570
(908) 598-0220
(908) 598-0415
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MA36009
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000705
—
NJ
Enumeration date
10/11/2006
Last updated
08/22/2020
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