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Individual

MR. JAMES C. GROSCHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2328 W JOPPA RD, SUITE 300, LUTHERVILLE, MD 21093-4685
(410) 938-8660
(410) 938-8664
Mailing address
2328 W JOPPA RD, SUITE 300, LUTHERVILLE, MD 21093-4612
(410) 938-8660
(410) 938-8664

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15102
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35442407
BC RENDERING #
MD
01
571153463
MD TAX ID #
MD
Enumeration date
08/03/2005
Last updated
10/21/2015
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