Healthcare Provider Details

I. General information

NPI: 1235282906
Provider Name (Legal Business Name): GROSCHAN AND ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2328 W JOPPA RD SUITE 300
LUTHERVILLE MD
21093-4612
US

IV. Provider business mailing address

2328 W JOPPA RD SUITE 300
LUTHERVILLE MD
21093-4612
US

V. Phone/Fax

Practice location:
  • Phone: 410-938-8660
  • Fax: 410-938-8664
Mailing address:
  • Phone: 410-938-8660
  • Fax: 410-938-8664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number15102
License Number StateMD

VIII. Authorized Official

Name: MS. MICHELLE LYNN SCHAFFNER
Title or Position: OFFICE MANAGER
Credential:
Phone: 410-938-8660