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Individual

ROHAN MOFFATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15245 SHADY GROVE RD STE 150, ROCKVILLE, MD 20850-7210
(301) 869-9776
(301) 417-4947
Mailing address
15245 SHADY GROVE RD STE 340, ROCKVILLE, MD 20850-7201
(667) 303-1042

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0070752
MD
207QS0010X
Sports Medicine (Family Medicine) Physician
D0070752
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043920700
MD
Enumeration date
05/07/2008
Last updated
11/20/2024
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