Individual
DR. DAVID R ROGGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 OLD COURT RD, SUITE 301, PIKESVILLE, MD 21208-6417
(410) 653-0000
(410) 653-5531
Mailing address
4000 OLD COURT RD, SUITE 301, PIKESVILLE, MD 21208-6417
(410) 653-0000
(410) 653-5531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D35844
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061141700
—
MD
01
—
110167456
R/R MEDICARE PROVIDER #
MD
01
—
CN6601
R/R MEDICARE GROUP #
MD
Enumeration date
08/05/2006
Last updated
01/24/2012
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