National Provider Identifier Database

LENORE M TIETJENS GRILLO, MD – NPI #1376609248
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

LENORE M TIETJENS GRILLO, MD
9001 EDMONSTON RD STE 40
GREENBELT, MD20770-1004
Phone: 240-790-3325
Fax: 301-345-1865
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for LENORE M TIETJENS GRILLO

NPI Number 1376609248
Credentials MD
Entity Individual
Enumeration date 12/28/2006
Last updated 02/06/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • DE License #: C1-0004254
  • MD License #: D0046167
  • MD Medicaid: 162081900
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LENORE M TIETJENS GRILLO, MD

There are currently no reviews for LENORE M TIETJENS GRILLO, MD


NPIdb - Home
v2.201