Individual
ROMAN KATSNELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2200
Mailing address
66 POWERHOUSE RD, FL 3, ROSLYN HTS, NY 11577-1324
(516) 626-6366
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0053836
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454M660F
TRAILBLAZER
MD
05
—
585501200
—
MD
Enumeration date
06/28/2005
Last updated
03/09/2010
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