Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 22096 | DC |
N | 208000000X | Pediatrician | 22096 | DC |
Y | 2084N0402X | Child Neurologist | 22096 | DC |
NPI | 1407848005 |
---|---|
Provider Name | Dr. Andrea L Gropman |
First Address | Washington, DC 20010-2916 |
Second Address | Washington, DC 20010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 23/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G72395 | (02) |