NPI 1093851669

Stacey Grum Koff, MD

Practitioner Urology Physician Bethesda, MD

Practice location

Address: 8901 Wisconsin Ave, Bethesda, MD 20889-0001
Phone: (301) 319-4769
Fax: (301) 295-4280
Mailing address: 10019 Kensington Pkwy, Kensington, MD 20895-3430

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 0101058328 (VA)

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Registry record

NPI: 1093851669
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.