Provider Demographics
NPI:1851718928
Name:ROCK, EDWIN (MD PHD)
Entity Type:Individual
Prefix:
First Name:EDWIN
Middle Name:
Last Name:ROCK
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 RESEARCH BLVD
Mailing Address - Street 2:SUITE 333
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3238
Mailing Address - Country:US
Mailing Address - Phone:609-524-6778
Mailing Address - Fax:240-514-3878
Practice Address - Street 1:5518 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3724
Practice Address - Country:US
Practice Address - Phone:609-356-9459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA419546207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology