MEDICARE: JULIA GOROFF DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	OS023919	PA

General Provider Information

NPI Number	:	1871172585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA GOROFF DO

Provider Business Mailing Address
First Line	:	20 COMMUNITY LN
Second Line	:
City	:	GORDONVILLE
State	:	PA
Zip	:	17529-9707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 COMMUNITY LN
Second Line	:
City	:	GORDONVILLE
State	:	PA
Zip	:	17529-9707
Country	:	US
Telephone Number	:	717-687-9407
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	07/22/2024

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