Individual
DR. MAXIM ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO D.PHIL
Contact information
Practice address
720 RUTLAND AVENUE RM 659, BALTIMORE, MD 21205
(314) 362-1451
Mailing address
9910 FRANKLIN SQUARE DRIVE SUITE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
BB4745785
MO
207ZC0006X
Clinical Pathology Physician
Primary
D84001
MD
Other
Enumeration date
09/19/2012
Last updated
07/21/2022
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