Individual
DANIEL AARON GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 FAIRMOUNT AVE STE 500, TOWSON, MD 21286-5466
(410) 494-1662
(410) 494-1718
Mailing address
501 FAIRMOUNT AVE STE 103, TOWSON, MD 21286-5457
(410) 494-7920
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D76118
MD
207RP1001X
Pulmonary Disease Physician
Primary
D76118
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08945100
MEDICAL LICENSE
NJ
01
—
314295ZB6F
MEDICARE PTAN
MD
01
—
D76118
PHYSICIAN LICENSE
MD
Enumeration date
01/14/2008
Last updated
07/21/2022
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