MEDICARE: EMILE SAUL ROCHON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD047521	DC

General Provider Information

NPI Number	:	1932560836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILE SAUL ROCHON M.D.

Provider Business Mailing Address
First Line	:	1850 E PARK AVE
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16803-6706
Country	:	US
Telephone Number	:	814-235-2490
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 PENNSYLVANIA AVE SE STE 100
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-4354
Country	:	US
Telephone Number	:	202-546-4504
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2016
Last Update Date	:	08/15/2019

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