Organization · Type 2 NPI

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

Specialist · Towson, MD

NPI number 1518072149 Active

Practice location

7505 Osler Dr, Suite 216
Towson, MD 21204-7736

Call (410) 583-2200 Map

Fax (410) 583-2273

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XD14165 (MD)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1518072149

Roger Theodore, M.d., P.a.'s National Provider Identifier is 1518072149, issued on Aug 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Towson, MD. The record was last updated on Aug 22, 2020.