Provider Demographics
NPI:1942246640
Name:ROGELL, GERALD D (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:D
Last Name:ROGELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25 CROSSROADS DR
Mailing Address - Street 2:STE 412
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5439
Mailing Address - Country:US
Mailing Address - Phone:443-394-6400
Mailing Address - Fax:443-394-9850
Practice Address - Street 1:9110 FERNWOOD RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3020
Practice Address - Country:US
Practice Address - Phone:301-469-9151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0015051207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC901211Medicare ID - Type Unspecified