Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | C10011904 | DE |
N | 208000000X | Pediatrician | MD447800 | PA |
N | 2080P0205X | Pediatric Endocrinologist | C10011904 | DE |
Y | 2080P0205X | Pediatric Endocrinologist | MD447800 | PA |
NPI | 1285954560 |
---|---|
Provider Name | Dr. Tal Grunwald |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2010 |
Last Update Date | 14/03/2019 |