Provider Demographics
NPI:1740397868
Name:ROGERS, PHILIP LLOYD (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:LLOYD
Last Name:ROGERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 418283
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-8283
Mailing Address - Country:US
Mailing Address - Phone:703-558-1544
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF PEDIATRICS, 3800 RESERVOIR ROAD, NW
Practice Address - Street 2:PASQUERILLA HEALTHCARE CENTER, SECOND FLOOR, RM F2003A
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-8518
Practice Address - Fax:202-444-2467
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2012-03-14
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Provider Licenses
StateLicense IDTaxonomies
DCMD0346072080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology