# PROMED PREFERRED DC PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912707720
- **Authorized official:** LEV GRINMAN MD (PRESIDENT)
- **Authorized official phone:** (615) 499-3165

## Contact information

- **Practice address:** 1519 YORK RD, TIMONIUM, MD 21093-5611
- **Practice address phone:** (615) 499-3165
- **Mailing address:** 329 S OYSTER BAY RD \# 2059, PLAINVIEW, NY 11803-3301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2025
- **Last updated:** 03/19/2025