Basic Information
| Provider Information | |||||||||
| NPI: | 1235282906 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GROSCHAN AND ASSOCIATES PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2328 W JOPPA RD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | LUTHERVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210934612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109388660 | ||||||||
| FaxNumber: | 4109388664 | ||||||||
| Practice Location | |||||||||
| Address1: | 2328 W JOPPA RD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | LUTHERVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210934612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4109388660 | ||||||||
| FaxNumber: | 4109388664 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2007 | ||||||||
| LastUpdateDate: | 07/09/2013 | ||||||||
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| AuthorizedOfficialLastName: | SCHAFFNER | ||||||||
| AuthorizedOfficialFirstName: | MICHELLE | ||||||||
| AuthorizedOfficialMiddleName: | LYNN | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4109388660 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 15102 | MD | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.