Healthcare Provider Details

I. General information

NPI: 1912977943
Provider Name (Legal Business Name): DARRIN J ROSSLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 TAUSSIG BLVD BMC SEWELLS
NORFOLK VA
23511-2899
US

IV. Provider business mailing address

500 SABAL PALM LN APT 306
CHESAPEAKE VA
23320-1740
US

V. Phone/Fax

Practice location:
  • Phone: 757-314-6972
  • Fax:
Mailing address:
  • Phone: 832-259-2621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101246963
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: