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1124072855
GREGORY D GROTH
WILLIAMSVILLE, NY
NPI
1124072855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 005566)
Enumeration Date
2006-05-19
Last Update Date
2009-04-02
Business Address
-- GREGORY D GROTH RPAC
100 COLLEGE PKWY SUITE 220
WILLIAMSVILLE, NY 14221-6800
Phone number: 716-626-9900
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Mailing Address
-- GREGORY D GROTH RPAC
8470 INDIAN FALLS RD
CORFU, NY 14036-9641
Phone number: 585-762-9292
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