SAMUEL ROBERT GRODOFSKY

Dr SAMUEL ROBERT GRODOFSKY is a male medical professional, specializing in Anesthesiology. He graduated in 2010 from Jefferson Medical College Of Thomas Jefferson University.

Contact

5700 N BROAD ST
PHILADELPHIA
PA
191412325

Tel:

SAMUEL ROBERT GRODOFSKY Information

Npi 1932426566
Pac Id 8527284991
Professional Enrollment Id I20140721000266
Last Name GRODOFSKY
First Name SAMUEL
Middle Name ROBERT
Suffix
Gender M
Credential
Medical School Name JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year 2010
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 5700 N BROAD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PHILADELPHIA
State PA
Zip Code 191412325
Phone Number
Hospital Affiliation Ccn 1 390008
Hospital Affiliation Lbn 1 ELLWOOD CITY MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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