Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL ROBERT GRODOFSKY, MD
DeactivatedSAMUEL ROBERT GRODOFSKY, MD is a Anesthesiology healthcare provider located in BALA CYNWYD, Pennsylvania. NPI 1932426566 is deactivated in the NPPES registry. Verify at CMS.
Anesthesiology · BALA CYNWYD, PA
This NPI has been deactivated.
The record was deactivated on March 23, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1932426566
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2010 (8.9205479452055 yrs)
- Last Updated
- Dec 26, 2019
- Deactivated
- Mar 23, 2019
- Licenses
-
MD451221 (PA)MD451221 (PA)
Practice Information
- Address
-
1 BALA AVE STE 418BALA CYNWYD, PA, 190043207Browse PA providers · Browse ZIP 19004
- Phone
- 2153662803
- Fax
- 2673377950
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Anesthesiology
Other Anesthesiology Providers in BALA CYNWYD, PA
| Name | Credential | NPI |
|---|---|---|
| JERRY LEVITT | MD | 1053301648 |
| CHARLOTTE KREHBIEL BROWN | MD | 1780828665 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.