Individual
ERIK C VONROSENVINGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, N3W62, BALTIMORE, MD 21201-1544
(410) 328-8750
(410) 328-8315
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-8750
(410) 328-8315
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D64431
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417449600
—
MD
01
—
951668-01 & 02
BLUE CROSS/BLUE SHIELD
MD
01
—
S062-0356
BLUE CROSS/BLUE SHIELD - REGIONAL
MD
Enumeration date
02/13/2007
Last updated
11/02/2010
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