Provider Demographics
NPI:1942477559
Name:VERGHESE, ROSEMARY JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:JOSEPH
Last Name:VERGHESE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 7TH ST NW APT 824
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5709
Mailing Address - Country:US
Mailing Address - Phone:703-899-5510
Mailing Address - Fax:
Practice Address - Street 1:173 SAINT PATRICKS DR
Practice Address - Street 2:SUITE 201
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-5529
Practice Address - Country:US
Practice Address - Phone:301-396-3401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0069811207R00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology