Organization
GERIATRIC ASSOC BROOK
Active
Parent organization
BROOKE GROVE FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKE GROVE FOUNDATION
Authorized official
MR. DENNIS KARL HUNTER (VICE PRESIDENT)
(301) 924-2811
Entity
Organization
Contact information
Practice address
18100 SLADE SCHOOL RD, SANDY SPRING, MD 20860-1313
(301) 924-2811
(301) 924-1200
Mailing address
18100 SLADE SCHOOL RD, SANDY SPRING, MD 20860-1313
(301) 924-2811
(301) 924-1200
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
062M
MD
Other
Enumeration date
10/24/2008
Last updated
05/04/2016
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