# ROCKVILLE MEDICAL AND DISC CENTER LLC

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

## Provider details

- **NPI number:** 1942501242
- **Authorized official:** DR. STEPHEN H WANDER DC (OWNER)
- **Authorized official phone:** (301) 770-1818

## Contact information

- **Practice address:** 700 RUSSELL AVE, GAITHERSBURG, MD 20877-2603
- **Practice address phone:** (301) 355-5260
- **Mailing address:** 700 RUSSELL AVENUE, GAITHERSBURG, MD 20877-2603
- **Mailing address phone:** (301) 355-5260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | S01924 | MD | Yes |
| 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