MEDICARE: DR. CHARLOTTE GRINBERG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D97034	MD

General Provider Information

NPI Number	:	1750811204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLOTTE GRINBERG MD

Provider Business Mailing Address
First Line	:	5454 WISCONSIN AVE STE 635
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6926
Country	:	US
Telephone Number	:	301-857-9225
Fax Number	:	301-842-9434

Provider Business Practice Location Address
First Line	:	5454 WISCONSIN AVE STE 635
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6926
Country	:	US
Telephone Number	:	301-857-9225
Fax Number	:	301-842-9434

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2017
Last Update Date	:	05/19/2026

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