Provider Demographics
NPI:1194057547
Name:GROFF, IRENE
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:GROFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 PIKELAND RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-1101
Mailing Address - Country:US
Mailing Address - Phone:610-827-2112
Mailing Address - Fax:
Practice Address - Street 1:1467 HARK A WAY RD
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-2302
Practice Address - Country:US
Practice Address - Phone:610-453-5005
Practice Address - Fax:610-827-1135
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker