Search › Pennsylvania › 207L00000X
Samuel Grodofsky, MD
NPI 1932426566 · on the registry since 2010
Practice
- Address
- 1 Bala Ave Ste 418
Bala Cynwyd, PA 19004 - Phone
- (215) 366-2803
- Fax
- (267) 337-7950
- Organisation at this address
- Philia Physio Llc
Q Psych Assessment
David J Nyer Lcsw Pc
Susan Sutton Frager Lcsw
Genesis Ketamine CentersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Also registered as
- 207LP2900X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania