Albert H Grollman, M.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0002404 Issued in MD

Practice address

7 Metropolitan CT Ste 1
Gaithersburg, MD 20878-4016

Phone

(240) 773-0307

Fax

(240) 773-0301

NPI assigned

Jun 14, 2016

Last updated

Jun 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1902256688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 ROLLING HOUSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524539",
            "telephone_number": "301-881-4461",
            "fax_number": "240-773-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 METROPOLITAN CT STE 1",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784016",
            "telephone_number": "240-773-0307",
            "fax_number": "240-773-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLLMAN",
        "first_name": "ALBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0002404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.