Individual
DR. ETHAN SAMUEL ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7501 OSLER DR, BUILDING A, SUITE 205, TOWSON, MD 21204-7733
(410) 427-5510
Mailing address
7501 OSLER DR, BUILDING A, SUITE 205, TOWSON, MD 21204-7733
(410) 427-5510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0116019537
VA
208600000X
Surgery Physician
Primary
D76143
MD
Other
Enumeration date
11/21/2008
Last updated
09/23/2013
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