Individual
DR. MANUEL CARLOS DE LA ROSA JR.
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) 955-8480
(410) 614-8156
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
279506
MA
207R00000X
Internal Medicine Physician
Primary
D0095205
MD
Other
Enumeration date
05/28/2016
Last updated
10/01/2024
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