Individual
DR. JEROME E GROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34445 KING STREET ROW, LEWES, DE 19958-4787
(302) 645-2833
(978) 327-7891
Mailing address
34445 KING STREET ROW, LEWES, DE 19958-4787
(302) 645-2833
(978) 327-7891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10002092
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000026301
—
DE
Enumeration date
08/28/2005
Last updated
12/21/2016
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