Provider Demographics
NPI:1326159674
Name:GROCHOW, LOUISE B (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:B
Last Name:GROCHOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4836
Mailing Address - Country:US
Mailing Address - Phone:617-577-9946
Mailing Address - Fax:
Practice Address - Street 1:JOHNS HOPKINS HOSP ONCOLOGY CTG C/O MARTIN ABELOFF
Practice Address - Street 2:600 N. WOLFE ST.
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:302-252-5044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0018333207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD74601Medicare UPIN