person
Dr. Lenore Marie Tietjens-grillo, MD
Gynecology Physician in Greenbelt, Maryland
NPI 1376609248

Lenore Marie Tietjens-grillo is a Gynecology Physician based in Elkton, MD and is specialized in Gynecology. Lenore Marie Tietjens-grillo practices in Greenbelt, MD and has the professional credentials of MD. The NPI Number for Lenore Marie Tietjens-grillo is 1376609248 and holds a License No. C1-0004254 (Maryland).

The current practice location address for Lenore Marie Tietjens-grillo is 9001 Edmonston Rd Ste 40, Greenbelt, MD and can be reached out via phone at 240-790-3325 and via fax at 301-345-1865. You can also correspond with Lenore Marie Tietjens-grillo through the mailing address at 110 MISTY LN, ELKTON, MD - 21921-2314 (mailing address contact number: 443-553-0631).

Location: 9001 Edmonston Rd Ste 40, Greenbelt, MD, 21921-2314
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Provider Profile Details
NPI Number
1376609248
Provider Name
Lenore Marie Tietjens-grillo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
9001 Edmonston Rd Ste 40, Greenbelt, MD, 21921-2314
Phone Number
240-790-3325
Fax Number
301-345-1865
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
162081900 05 MD
institution
Provider Business Practice Location Address Details
Address
9001 Edmonston Rd Ste 40
City
State
Zip
20770-1004
Phone Number
240-790-3325
Fax Number
301-345-1865
person
Provider Business Mailing Address Details
Address
9001 Edmonston Rd Ste 40
City
State
Zip
20770-1004
Phone Number
240-790-3325
Fax Number
301-345-1865
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
C1-0004254 (Delaware)
Definition
Definition to come...
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