Healthcare Provider Details

I. General information

NPI: 1164407698
Provider Name (Legal Business Name): HAROLD T. ROWSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 12/14/2021
Certification Date: 12/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5714 KENFIELD LN
UPPER MARLBORO MD
20772-3943
US

IV. Provider business mailing address

PO BOX 3441
CROFTON MD
21114-0441
US

V. Phone/Fax

Practice location:
  • Phone: 301-325-3558
  • Fax:
Mailing address:
  • Phone: 301-325-3558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD40908
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: