Healthcare Provider Details

I. General information

NPI: 1093749608
Provider Name (Legal Business Name): ADAM S ROCHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROUTE 636 MEDICAL CENTER DRIVE
FISHERVILLE VA
22939
US

IV. Provider business mailing address

1046 AMBER RIDGE RD
CHARLOTTESVILLE VA
22901-9537
US

V. Phone/Fax

Practice location:
  • Phone: 540-932-4465
  • Fax:
Mailing address:
  • Phone: 434-409-8853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101237884
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: