Individual
PETER D GRUNDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, PHYSICIAN BILLING, FALLS CHURCH, VA 22042-3307
(703) 776-1110
(703) 776-2917
Mailing address
3300 GALLOWS RD, PHYSICIAN BILLING, FALLS CHURCH, VA 22042-3307
(703) 776-1110
(703) 776-2917
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101053371
VA
Other
Enumeration date
06/25/2006
Last updated
10/30/2007
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