Jay C Grochmal, M.D., P.A.
Specialist in Baltimore, MD. Organization (NPI-2).
NPI number1457547762
StatusActive
Last updated in NPPESOct 19, 2007
Details
- NPI
- 1457547762
- Entity type
- Organization (NPI-2)
- Legal business name
- Jay C Grochmal, M.D., P.A.
- Organization subpart
- No
- Enumeration date
- Sep 20, 2007
- Last updated
- Oct 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | D0016999 | MD | Yes |
Practice location
405 Frederick RdSuite 102
Baltimore, MD 21228-4645
Phone 410-744-5310 · Fax 410-744-7924
Mailing address
405 Frederick RdSuite 102
Baltimore, MD 21228-4645
Phone 410-744-5310 · Fax 410-744-7924
Authorized official
Jay C Grochmal
President
4107445310
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