Provider Demographics
NPI:1093896227
Name:ROZMARYN, LEO M (MD)
Entity Type:Individual
Prefix:DR
First Name:LEO
Middle Name:M
Last Name:ROZMARYN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14995 SHADY GROVE RD STE 350
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-8726
Mailing Address - Country:US
Mailing Address - Phone:301-251-1433
Mailing Address - Fax:301-424-5266
Practice Address - Street 1:14995 SHADY GROVE RD STE 350
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-8726
Practice Address - Country:US
Practice Address - Phone:301-251-1433
Practice Address - Fax:301-424-5266
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD207XS0106X207X00000X
MDD0036613207XS0106X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
40090201OtherCAREFIRST BLUE CROSS
291840OtherALLIANCE/MAMSI
291840OtherMDIPA/OPCHOICE
0321139014OtherCIGNA
460135OtherAETNA
91961OtherANTHEM
37520006OtherBLUE CROSS OF NATL CAP AR
40090201OtherCAREFIRST BLUE CROSS
91961OtherANTHEM