Individual
MR. STEPHANIE L GROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
274 SPRING ST, MARSHFIELD, MA 02050-5828
(781) 837-1118
(781) 837-3811
Mailing address
274 SPRING ST, MARSHFIELD, MA 02050-5828
(781) 837-1118
(781) 837-3811
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
210184
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2088894
—
MA
Enumeration date
06/04/2006
Last updated
10/30/2019
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