| Roger Theodore, MD | |
|
1001 Cromwell Bridge Rd, Suite 200, Towson, MD 21286-3300 | |
| (410) 821-7775 | |
| (410) 821-1320 |
| Full Name | Roger Theodore |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 1001 Cromwell Bridge Rd, Towson, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306841614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | D0014165 (Maryland) | Primary |
| Entity Name | Robert L Gattuso, M.d., P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659584621 PECOS PAC ID: 7517047806 Enrollment ID: O20071227000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Theodore, MD 1001 Cromwell Bridge Rd, Suite 200, Towson, MD 21286-3300 Ph: (410) 821-7775 | Roger Theodore, MD 1001 Cromwell Bridge Rd, Suite 200, Towson, MD 21286-3300 Ph: (410) 821-7775 |
Alexander Jacob Solomon, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7801 York Rd # 140, Towson, MD 21204 Phone: 410-337-4024 | |
Kristen Toussaint, OTR/L Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7501 Osler Dr Ste 301, Towson, MD 21204 Phone: 410-337-1332 | |
Tiffany Tsay, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8322 Bellona Ave Ste 100, Towson, MD 21204 Phone: 410-337-7900 Fax: 410-337-5321 | |
Brandon Cohen, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 602 Saint Francis Rd, Towson, MD 21286 Phone: 410-499-6480 | |
Mehrdad Michael Massumi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 660 Kenilworth Dr, Suite 200, Towson, MD 21204 Phone: 410-825-5905 Fax: 410-825-7712 | |
Debora Lynn Wall, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 509 E Joppa Rd, Towson, MD 21286 Phone: 410-828-9494 |