Individual
DR. MICHAEL RO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21170 ASHBY PONDS BLVD, ASHBURN, VA 20147-6128
(571) 291-6131
(571) 291-6135
Mailing address
5525 RESEARCH PARK DR, 4TH FLOOR, BALTIMORE, MD 21228-4873
(571) 291-6131
(571) 291-6135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0039297
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-86710
EVERCARE
—
01
—
522096682001
TRICARE NORTH
—
Enumeration date
11/15/2006
Last updated
05/06/2015
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