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Physician Compare National (NPI:1730231564)

HEALTHCARE PROVIDER: MEGAN BETH WOLLMAN- ROSENWALD M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1730231564
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0547226912
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20041207000945
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WOLLMAN-ROSENWALD
Individual professional last name
Provider First Name MEGAN
Individual professional first name
Provider Middle Name B
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2001
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name FAMILY HEALTHCARE, P.C.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 2567451156
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 7
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 20528 BOLAND FARM RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 104
Group Practice or individual's line 2 address
City GERMANTOWN
Group Practice or individual's city
State MD
Group Practice or individual's state
Zip Code 208764032
Group Practice or individual's zip code (9 digits when available)
Phone Number 3019720400
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 210005
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 FREDERICK MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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