Provider Demographics
NPI:1063637155
Name:INGADO, ROSEMARY (PA)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:INGADO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:20 MAYO ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037
Mailing Address - Country:US
Mailing Address - Phone:410-956-6800
Mailing Address - Fax:410-956-6803
Practice Address - Street 1:20 MAYO ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037
Practice Address - Country:US
Practice Address - Phone:410-956-6800
Practice Address - Fax:410-956-6803
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDC0002727363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant