Organization
CRITICAL CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO C ROTELLO MD (OWNER)
(800) 655-2656
Entity
Organization
Contact information
Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3300
Mailing address
PO BOX 79599, BALTIMORE, MD 21279-0599
(800) 655-2656
(412) 822-7411
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412897400
—
MD
01
—
7496
CAREFIRST BCBS
DC
01
—
78TZCR
CAREFIRST BCBS
MD
Enumeration date
12/11/2006
Last updated
11/13/2008
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