Organization
JAY C GROCHMAL, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY C GROCHMAL M.D. (PRESIDENT)
(410) 744-5310
Entity
Organization
Contact information
Practice address
405 FREDERICK RD, SUITE 102, BALTIMORE, MD 21228-4645
(410) 744-5310
(410) 744-7924
Mailing address
405 FREDERICK RD, SUITE 102, BALTIMORE, MD 21228-4645
(410) 744-5310
(410) 744-7924
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0016999
MD
Other
Enumeration date
09/20/2007
Last updated
10/19/2007
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