Stacey Grum Koff is a Urology in Kensington, Maryland. Stacey Grum Koff practices all healthcare services and medical treatments related to Urology. The NPI Number for Stacey Grum Koff is 1093851669. The last update date is 2007-07-08.
Stacey Grum Koff's current location address is 10019 Kensington Pkwy, Kensington, Maryland. You can contact this provider via phone number 3019621864 and fax number 3012954280. The mailing address for Stacey Grum Koff is 10019 Kensington Pkwy, Kensington, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Grum Koff |
|---|---|
| Address | 10019 Kensington Pkwy, Kensington, Maryland |
| Phone Number | 3019621864 |
| Fax Number | 3012954280 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093851669 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10019 Kensington Pkwy |
|---|---|
| City | Kensington |
| State | Maryland (MD) |
| Post Code | 208953430 |
| Phone Number | 3019621864 |
| Fax Number | 3012954280 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 101058328 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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What is the unique identifier code issued to Stacey Grum Koff by the Centers for Medicare & Medicaid Services?
The Stacey Grum Koff has been assigned the NPI (National Provider Identifier) 1093851669. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stacey Grum Koff is physically located?
The Stacey Grum Koff is situated at the following address: 10019 Kensington Pkwy, Kensington, MD 208953430.
What is the Stacey Grum Koff's specialty and taxonomy code?
The Stacey Grum Koff's specialty is Urology, and the corresponding taxonomy code is 208800000X.
On what date did Stacey Grum Koff receive its 1093851669 assignment from the Centers for Medicare & Medicaid Services?
The Stacey Grum Koff was assigned its 1093851669 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Stacey Grum Koff last refreshed?
The information related to the Stacey Grum Koff, including its address, specialty, and other relevant details, was last updated on 2007-07-08.