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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 H WANDER DC (OWNER)
(301) 770-1818
Entity
Organization
Contact information
Practice address
700 RUSSELL AVE, GAITHERSBURG, MD 20877-2603
(301) 355-5260
Mailing address
700 RUSSELL AVENUE, GAITHERSBURG, MD 20877-2603
(301) 355-5260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S01924
MD
208100000X
Physical Medicine & Rehabilitation Physician
S0194
MD
363L00000X
Nurse Practitioner
S01924
MD
363LF0000X
Family Nurse Practitioner
S01924
MD
Other
Enumeration date
11/03/2010
Last updated
01/06/2011
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