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Organization
ROCKVILLE MEDICAL AND DISC CENTER LLC
Active
Organization
ROCKVILLE MEDICAL AND DISC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN WANDER DC (OWNER)
(301) 770-1818
Entity
Organization
Contact information
Practice address
5912 HUBBARD DR, ROCKVILLE, MD 20852-4823
(301) 770-1818
Mailing address
5912 HUBBARD DR, ROCKVILLE, MD 20852-4823
(301) 770-1818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/21/2010
Last updated
03/15/2011
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