TIMOTHY D. GROTH MD PC
Osteopathic Medicine at Jericho Tpke, Smithtown, NY

License number
New York 158610
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: TIMOTHY GROTH M.D.
Title: PHYSICIAN
Phone: (631) 543-1440
Address
Address
994 W Jericho Tpke, Smithtown, NY 11787
National Provider ID: 1720022015
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TIMOTHY D. GROTH, M.D., PC

Smithtown, NY

Doing business as:
Timothy D Groth INC
Registration:
Sep 14, 2005
Phone:
(631) 543-1440 (Phone), (631) 543-1930 (Fax)
Addresses:
994 W Jericho Tpke, Smithtown, NY 11787 (Physical)
994 W Jerich Tnpk SUITE 104, Smithtown, NY 11787 (Physical)
State ID:
3256269
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Timothy Groth, 30 Mark Twain Ln, East Setauket, NY 11733 (Physical)
Categories:
Group Medical Practice

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