Individual
THEODORE GRABOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8322 BELLONA AVE, SUITE 330, TOWSON, MD 21204-2012
(410) 825-6945
(410) 825-8974
Mailing address
11 ELMWOOD RD, BALTIMORE, MD 21210-1932
(410) 464-2286
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0053991
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174600600
—
MD
Enumeration date
07/09/2006
Last updated
05/13/2010
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