Healthcare Provider Details

I. General information

NPI: 1730542648
Provider Name (Legal Business Name): ASHLEY ROSLOFF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY GIBBONS M.D.

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6931 ARLINGTON RD STE 340
BETHESDA MD
20814-5231
US

IV. Provider business mailing address

6931 ARLINGTON RD STE 340
BETHESDA MD
20814-5231
US

V. Phone/Fax

Practice location:
  • Phone: 202-363-0300
  • Fax:
Mailing address:
  • Phone: 202-363-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD21001284
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number300196
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0088846
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: