Provider Demographics
NPI:1598859019
Name:ROSSER, RUFUS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RUFUS
Middle Name:
Last Name:ROSSER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9811 MALLARD DR
Mailing Address - Street 2:SUITE 115
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3180
Mailing Address - Country:US
Mailing Address - Phone:301-498-2103
Mailing Address - Fax:301-498-2106
Practice Address - Street 1:9811 MALLARD DR
Practice Address - Street 2:SUITE 115
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3180
Practice Address - Country:US
Practice Address - Phone:301-498-2103
Practice Address - Fax:301-498-2106
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0021152207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCC88190Medicare UPIN