Individual
EUGENE GROSVENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
343 NORTH CLAVERT ST, THIRD FLOOR, BALTIMORE, MD 21201
(410) 659-0689
Mailing address
5 ALI MARIE COURT, BALTIMORE, MD 21244
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0043865
MD
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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