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Individual

WALTER J ROCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3333 NORTH CALVERT STREET, SUITE 400, BALTIMORE, MD 21218
(410) 554-2270
(410) 261-2726
Mailing address
3333 NORTH CALVERT STREET, SUITE 400, BALTIMORE, MD 21218
(410) 554-2270
(410) 261-2726

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D053763
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227000500
MD
01
521892838
TAX ID
01
60394904
BCBS
MD
Enumeration date
06/15/2006
Last updated
10/31/2011
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