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Individual

STEVEN DAVID GROB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1057 POQUONNOCK RD, GROTON, CT 06340-4220
(860) 445-4148
(860) 449-1375
Mailing address
1057 POQUONNOCK RD, GROTON, CT 06340-4220
(860) 445-4148
(860) 449-1375

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000397
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05000397CT01
ANTHEM BLUE CROSS
CT
01
070213
ACN
CT
01
1031257
ASHN
CT
01
10443909
CAQH
CT
01
44-00115
UNITED HEALTHCARE
CT
01
4569279
AETNA
CT
01
NLS066
TRIAD/OXFORD
CT
01
OV4644
LANDMARK/HEALTHNET
CT
Enumeration date
07/25/2006
Last updated
07/08/2007
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