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1093851669
STACEY GRUM KOFF
BETHESDA, MD
NPI
1093851669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: VA 0101058328)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Dr. STACEY GRUM KOFF M.D.
8901 WISCONSIN AVE
BETHESDA, MD 20889-0001
Phone number: 301-319-4769
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Mailing Address
Dr. STACEY GRUM KOFF M.D.
10019 KENSINGTON PKWY
KENSINGTON, MD 20895-3430
Phone number: 301-962-1864
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