Doctor Name: | DR. JONATHAN ELI GRIFE |
NPI Number: | 1891786042 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D005090 |
Business Practice Address: | 801 Toll House Ave Bldg F-1 Frederick, MD - 217014564 |
Business Phone Number: | 3016683322 |
Business Fax Number: | 3016683325 |
Mailing Address: | 2714 Flintridge Ct, MYERSVILLE |
State: | MD |
Postal Code: | 217738645 |
Phone Number: | 3012932428 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 03/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D005090 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |