Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | D0036613 | MD |
NPI | 1093896227 |
---|---|
Provider Name | Dr. Leo M Rozmaryn |
First Address | Rockville, MD 20850-8726 |
Second Address | Rockville, MD 20850-8726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 25/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0321139014 | CIGNA (01) | |
291840 | ALLIANCE/MAMSI (01) | |
291840 | MDIPA/OPCHOICE (01) | |
37520006 | BLUE CROSS OF NATL CAP AR (01) | |
40090201 | CAREFIRST BLUE CROSS (01) | |
460135 | AETNA (01) | |
91961 | ANTHEM (01) | |
B94802 | (02) |