Doctor Name: | DR. JAMES GROVENBURG |
NPI Number: | 1710022447 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 181048-1 |
Business Practice Address: | 5 Golden Ln Kerhonkson, NY - 124461609 |
Business Phone Number: | 8456263424 |
Business Fax Number: | 8456264627 |
Mailing Address: | 5 Golden Lane, KERHONKSON |
State: | NY |
Postal Code: | 12446 |
Phone Number: | 8456263424 |
Fax Number: | 8456264627 |
NPI Enumeration Date: | 02/20/2007 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | 181048-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |