Provider Demographics
NPI:1083846075
Name:NANCY J RONSHEIM, MD, PA
Entity Type:Organization
Organization Name:NANCY J RONSHEIM, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:RONSHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-953-3900
Mailing Address - Street 1:8311 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4830
Mailing Address - Country:US
Mailing Address - Phone:301-953-3900
Mailing Address - Fax:301-490-3768
Practice Address - Street 1:8311 CHERRY LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4830
Practice Address - Country:US
Practice Address - Phone:301-953-3900
Practice Address - Fax:301-490-3768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD20455207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty