Provider Demographics
NPI:1679655401
Name:ROTOLO, FRANCIS S (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:S
Last Name:ROTOLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6535 N CHARLES ST
Mailing Address - Street 2:SUITE 510
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-5826
Mailing Address - Country:US
Mailing Address - Phone:443-849-4800
Mailing Address - Fax:443-849-4801
Practice Address - Street 1:6535 N CHARLES ST
Practice Address - Street 2:SUITE 510
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-5826
Practice Address - Country:US
Practice Address - Phone:443-849-4800
Practice Address - Fax:443-849-4801
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0038712208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR5250003OtherCAREFIRST BCBS
MD544761500Medicaid
MDR5250003OtherCAREFIRST BCBS
E20295Medicare UPIN