Sandra Groot M.D.

NPI 1417142472 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1417142472
Gender Female
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5601 LOCH RAVEN BLVD
RUSSELL MORGAN BUILDING, #502
BALTIMORE MD, 21239-2905, US
Phone (443) 444-4863
Fax (443) 444-4997
Business Location
5601 LOCH RAVEN BLVD
RUSSELL MORGAN BUILDING, #502
BALTIMORE MD, 21239-2905, US
Phone (443) 444-4863
Fax (443) 444-4997
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Sandra Groot M.D. NPI is 1417142472, taxonomy code is 390200000X Sandra Groot M.D. physically located at 5601 Loch Raven Blvd, Baltimore MD, 21239-2905. NPI Number Sandra Groot M.D. has the Individual type.

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1417142472 NPI number is provided on an as is basis without warranty of any kind. 1417142472 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Groot M.D. are for informational purposes only.