Individual
DR. MATTHEW S. ROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11637 TERRACE DR STE 101, WALDORF, MD 20602-3707
(240) 629-3939
(240) 629-3940
Mailing address
1050 KEY PKWY STE 202, FREDERICK, MD 21702-4551
(240) 629-3982
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0078048
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366465
MEDICARE PTAN
MD
01
—
366882
MEDICARE PTAN
DC
05
—
754030200
—
MD
Enumeration date
08/02/2010
Last updated
07/09/2021
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