Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 0101020441 | VA |
NPI | 1003969213 |
---|---|
Provider Name | Dr. Paul G. Rochmis |
First Address | Fairfax, VA 22031-4607 |
Second Address | Fairfax, VA 22031-4607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001746526 | UNITEDHEALTHCARE (01) | VA |
069434 | ANTHEM (01) | VA |
2114892 | AETNA PPO (01) | VA |
3824038 | US DEPT OF LABOR (01) | VA |
540987728 | ALLIANCE (01) | VA |
540987728 | CIGNA (01) | VA |
540987728 | MAMSI (01) | VA |
B109 | CAREFIRST (01) | VA |
B93099 | (02) | VA |