Individual
DR. JAY C GROCHMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 FREDERICK RD, SUITE 102, CATONSVILLE, MD 21228-4645
(410) 744-5310
(410) 744-7924
Mailing address
405 FREDERICK RD, SUITE 102, CATONSVILLE, MD 21228-4645
(410) 744-5310
(410) 744-7924
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D16000
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
968611801
—
MD
Enumeration date
10/03/2005
Last updated
09/28/2012
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