Groll, Stephanie L

Groll, Stephanie L is an sole proprietor health care provider with primary practice located at 274 Spring St , Marshfield MA 02050-5828. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Groll, Stephanie L can be contacted via phone (781) 837-1118.

Contact Information

Primary practice address
274 Spring St Marshfield MA 02050-5828
Fax: (781) 837-3811
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 210184 Massachusetts

Profile Details

NPI number 1932147444
LBN Legal business name Groll, Stephanie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2006
Last updated Oct 30th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932147444 NPPES
Massachusetts MEDICAID 2088894

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