Alan Scott Groth D.O.

NPI 1871595181 - Internal Medicine - 207R00000X

NPI Details
NPI 1871595181
Gender Male
Enumeration Date 06/01/2005
Last Updated 07/16/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
708 LONG LN
UPPER DARBY PA, 19082-5101, US
Phone (610) 626-2964
Fax (610) 623-6535
Business Location
450 PARK WAY
SUITE 300
BROOMALL PA, 19008-4202, US
Phone (484) 422-8080
Fax (484) 422-8073
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number OS004223L
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According to our database, Alan Scott Groth D.O. NPI is 1871595181, taxonomy code is 207R00000X and license number is OS004223L, license state is located at Pennsylvania. Alan Scott Groth D.O. physically located at 708 Long Ln, Upper Darby PA, 19082-5101. NPI Number Alan Scott Groth D.O. has the Individual type.

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1871595181 NPI number is provided on an as is basis without warranty of any kind. 1871595181 is maintained by the National Plan & Provider Enumeration System. The contents of Alan Scott Groth D.O. are for informational purposes only.