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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 Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for LENORE M TIETJENS GRILLO · (Female)

NPI Number 1376609248
Status Active
Credentials MD
Entity Individual
Enumeration date 12/28/2006
Last updated 02/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C1-0004254
  • MD License # D0046167
  • MD Medicaid 162081900
Hospital affiliation(s) Not Available
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.

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