Healthcare Provider Details

I. General information

NPI: 1477863884
Provider Name (Legal Business Name): REBECCA FELSEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 BLACKWELL RD STE 210
ROCKVILLE MD
20850-6491
US

IV. Provider business mailing address

9601 BLACKWELL RD STE 210
ROCKVILLE MD
20850-6491
US

V. Phone/Fax

Practice location:
  • Phone: 301-200-1687
  • Fax: 866-701-4905
Mailing address:
  • Phone: 301-200-1687
  • Fax: 866-701-4905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0073497
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: