Individual
KENNETH J GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8322 BELLONA AVE, SUITE 100, TOWSON, MD 21204-2012
(410) 337-7900
(410) 337-5321
Mailing address
8322 BELLONA AVE, SUITE 100, TOWSON, MD 21204-2012
(410) 337-7900
(410) 337-5321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000778
MD
Other
Enumeration date
07/27/2006
Last updated
11/13/2013
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