Individual
ROSELYN ROGIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0101
Mailing address
1015 CONCORDIA DR, TOWSON, MD 21286-1712
(410) 821-6696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000681
MD
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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