1952446239 NPI number — ROSARIO DANCEL MD

Table of content: ROSARIO DANCEL MD (NPI 1952446239)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952446239 NPI number — ROSARIO DANCEL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DANCEL
Provider First Name:
ROSARIO
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952446239
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6196 OXON HILL RD
Provider Second Line Business Mailing Address:
SUITE 150
Provider Business Mailing Address City Name:
OXON HILL
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20745-3100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-749-0300
Provider Business Mailing Address Fax Number:
301-749-0303

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6196 OXON HILL RD
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
OXON HILL
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20745-3100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-749-0300
Provider Business Practice Location Address Fax Number:
301-749-0303
Provider Enumeration Date:
02/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080A0000X , with the licence number:  D0015574 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 231691 . This is a "ANTHEM HEALTHKEEPERS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 58692 . This is a "AMERIGROUP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 407481 . This is a "AETNA US HEALTHCARE PPO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 079956 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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