Provider Demographics
NPI:1952446239
Name:DANCEL, ROSARIO (MD)
Entity Type:Individual
Prefix:
First Name:ROSARIO
Middle Name:
Last Name:DANCEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6196 OXON HILL RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3100
Mailing Address - Country:US
Mailing Address - Phone:301-749-0300
Mailing Address - Fax:301-749-0303
Practice Address - Street 1:6196 OXON HILL RD
Practice Address - Street 2:SUITE 150
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3100
Practice Address - Country:US
Practice Address - Phone:301-749-0300
Practice Address - Fax:301-749-0303
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00155742080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD231691OtherANTHEM HEALTHKEEPERS
MD58692OtherAMERIGROUP
MD407481OtherAETNA US HEALTHCARE PPO
MD079956OtherAETNA US HEALTHCARE