Search › Maryland › 363A00000X
Roxolana Wise, PA
NPI 1114121936 · on the registry since 2007
Practice
- Address
- 2415 Musgrove Rd
Suite 203
Silver Spring, MD 20904 - Phone
- (301) 989-2300
- Fax
- (301) 236-5357
- Organisation at this address
- Mgrx Llc
Nueva Vita Llc
Gene S. Mirkin
Jerry S. Farber Md Pa
Precision Imaging LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363LF0000X
- Licence states on file
- SC, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland