Provider Demographics
NPI:1346771334
Name:ROGI, CAROLINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:ROGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W OREGON AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-4748
Mailing Address - Country:US
Mailing Address - Phone:267-338-3411
Mailing Address - Fax:
Practice Address - Street 1:330 W OREGON AVE STE 170
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-4748
Practice Address - Country:US
Practice Address - Phone:267-338-3411
Practice Address - Fax:267-780-7332
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020021393207R00000X
PAMD482469207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine