Doctor Name: | MR. THOMAS NICHOLAS GROBARZ |
NPI Number: | 1043602006 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | L1-0044375 |
Business Practice Address: | 424 Savannah Rd Lewes, DE - 199581462 |
Business Phone Number: | 3026453300 |
Business Fax Number: | |
Mailing Address: | 28462 Cedar Ridge Dr, MILLSBORO |
State: | DE |
Postal Code: | 199662710 |
Phone Number: | 3029341324 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2015 |
NPI Last Update Date: | 02/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | L1-0044375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |