Organization
ROSAVAN PINE HEIGHTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROSA DC (OWNER)
(240) 863-2822
Entity
Organization
Contact information
Practice address
1001 PINE HEIGHTS AVE STE 304, BALTIMORE, MD 21229-5285
(240) 863-2822
Mailing address
4703 CHEROKEE ST, COLLEGE PARK, MD 20740-1816
(240) 863-2822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
11/17/2021
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