Roger Theodore, M.d., P.a.

NPI #1518072149 in Towson, Maryland

Provider Information

NPI Number: 1518072149
Entity Type: Organization
Organization Name: Roger Theodore, M.d., P.a.
Primary Specialty: Specialist
Enumeration Date: Aug 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7505 OSLER DR
Address 2: SUITE 216
City: Towson
State: Maryland
ZIP Code: 21204-7736
Phone: (410) 583-2200

Authorized Official

Name: DR. ROGER THEODORE, M.D.
Title: PRESIDENT
Phone: (410) 583-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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