Organization
ROGER THEODORE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER THEODORE M.D. (PRESIDENT)
(410) 583-2200
Entity
Organization
Contact information
Practice address
7505 OSLER DR, SUITE 216, TOWSON, MD 21204-7736
(410) 583-2200
(410) 583-2273
Mailing address
7505 OSLER DR, SUITE 216, TOWSON, MD 21204-7736
(410) 583-2200
(410) 583-2273
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D14165
MD
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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