# ROSAVAN TEMPLE HILLS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912570805
- **Authorized official:** JOHN ROSA DC (OWNER)
- **Authorized official phone:** (240) 863-2822

## Contact information

- **Practice address:** 4037 BRANCH AVE, TEMPLE HILLS, MD 20748-1643
- **Practice address phone:** (240) 863-2822
- **Mailing address:** 4703 CHEROKEE ST, COLLEGE PARK, MD 20740-1816
- **Mailing address phone:** (240) 863-2822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2021
- **Last updated:** 11/17/2021