Individual
DR. JONATHAN S. ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1838 GREENE TREE RD, SUITE 535, BALTIMORE, MD 21208-6391
(410) 469-4000
(410) 469-4074
Mailing address
1838 GREENE TREE RD, SUITE 535, BALTIMORE, MD 21208-6391
(410) 469-4000
(410) 469-4074
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D65722
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412623800
—
MD
01
—
896945-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
02/21/2007
Last updated
11/09/2021
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