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Organization

PHYSICIANS 1ST NEUROMONITORING OF HANOVER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MITCHELL EMANUEL GRUPP (ADMINISTRATIVE DIRECTOR)
(410) 838-4717
Entity
Organization

Contact information

Practice address
217 E CHURCHVILLE RD, BEL AIR, MD 21014-3825
(410) 838-4717
(410) 838-4917
Mailing address
217 E CHURCHVILLE RD, BEL AIR, MD 21014-3825
(410) 838-4717

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
03/02/2007
Last updated
01/29/2010
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