Individual
TERESA LYNNE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1029 E BALTIMORE ST, BALTIMORE, MD 21202-4705
(410) 675-7500
(410) 558-1934
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06865
MD
363A00000X
Physician Assistant
PA9109098
FL
Other
Enumeration date
10/02/2015
Last updated
01/10/2023
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