Individual
ALAN SCOTT GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
708 LONG LN, UPPER DARBY, PA 19082-5101
(610) 626-2964
(610) 623-6535
Mailing address
450 PARK WAY, SUITE 300, BROOMALL, PA 19008-4202
(484) 422-8080
(484) 422-8073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS004223L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009787190002
—
PA
Enumeration date
06/01/2005
Last updated
07/16/2010
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