Organization · Type 2 NPI

Timothy D. Groth MD PC

Multi-Specialty Clinic/Center · Smithtown, NY

NPI number 1720022015 Active

Practice location

994 W Jericho Tpke, SUITE104
Smithtown, NY 11787-3235

Fax (631) 543-1930

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician 207LP2900XNone listed
Pain Medicine Physician 208VP0000XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1720022015

Timothy D. Groth MD PC's National Provider Identifier is 1720022015, issued on Jun 16, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Smithtown, NY. The record was last updated on Nov 9, 2020.