Individual
MR. ROBERT H GROZALIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
680 HEACOCK RD, SUITE 203, YARDLEY, PA 19067
(215) 321-2337
(215) 321-2339
Mailing address
680 HEACOCK RD, SUITE 203, YARDLEY, PA 19067
(215) 321-2337
(215) 321-2339
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT005886
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011559410001
—
PA
01
—
2342258000
INDEPENDENCE BC
PA
01
—
3573618
AETNA
PA
Enumeration date
09/16/2006
Last updated
07/08/2007
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