Individual
DR. NICHOLAS ALAN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3720 FOSTER AVE, BALTIMORE, MD 21224-4335
(501) 690-5894
Mailing address
842 PARK AVE, APT 4, BALTIMORE, MD 21201-4873
(501) 690-5894
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101270050
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2016
Last updated
06/03/2021
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