Organization
ROCKVILLE MEDICAL AND DISC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN WANDER DC (OWNER)
(301) 770-1818
Entity
Organization
Contact information
Practice address
5912 HUBBARD DR, ROCKVILLE, MD 20852-4823
(301) 770-1818
Mailing address
5912 HUBBARD DR, ROCKVILLE, MD 20852-4823
(301) 770-1818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/21/2010
Last updated
03/15/2011
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