Provider Demographics
NPI:1629127824
Name:CU, GEORGIA DELAROSA (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGIA
Middle Name:DELAROSA
Last Name:CU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:11203 OLD IRONSIDE CT
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4261
Mailing Address - Country:US
Mailing Address - Phone:301-203-3388
Mailing Address - Fax:301-203-3388
Practice Address - Street 1:12070 OLD LINE CTR
Practice Address - Street 2:SUITE 302
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2513
Practice Address - Country:US
Practice Address - Phone:301-645-6667
Practice Address - Fax:301-870-9722
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2013-12-05
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Provider Licenses
StateLicense IDTaxonomies
MDD0051990207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine