Individual
GEDGE DAVID ROSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6897
Mailing address
PO BOX 64165, BALTIMORE, MD 21264-4165
(410) 955-9466
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D61230
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407533100
—
MD
Enumeration date
07/03/2006
Last updated
02/15/2013
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