Provider Demographics
NPI:1164407698
Name:ROWSON, HAROLD T (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:T
Last Name:ROWSON
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:PO BOX 3441
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-0441
Mailing Address - Country:US
Mailing Address - Phone:301-325-3558
Mailing Address - Fax:
Practice Address - Street 1:5714 KENFIELD LN
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3943
Practice Address - Country:US
Practice Address - Phone:301-325-3558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD40908207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD555721600Medicaid
MD858MJ259Medicare ID - Type Unspecified