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Individual

SAMUEL ROBERT GRODOFSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 BALA AVE STE 418, BALA CYNWYD, PA 19004-3207
(215) 366-2803
(267) 337-7950
Mailing address
1 BALA AVE STE 418, BALA CYNWYD, PA 19004-3207
(215) 366-2803
(267) 337-7950

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD451221
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD451221
PA

Other

Enumeration date
04/21/2010
Last updated
12/26/2019
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