Provider Demographics
NPI:1114041274
Name:LITMAN, ROBERT ENOCH (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ENOCH
Last Name:LITMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9605 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6380
Mailing Address - Country:US
Mailing Address - Phone:301-251-4702
Mailing Address - Fax:301-762-5711
Practice Address - Street 1:9605 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 270
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6380
Practice Address - Country:US
Practice Address - Phone:301-251-4702
Practice Address - Fax:301-762-5711
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00358181744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD190959E27Medicare ID - Type Unspecified
MDB99125Medicare UPIN