Individual
DR. STACEY GRUM KOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 319-4769
(301) 295-4280
Mailing address
10019 KENSINGTON PKWY, KENSINGTON, MD 20895-3430
(301) 962-1864
(301) 295-4280
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101058328
VA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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