MEDICARE: DR. PETER DENNIS RUMM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	35-05-6433	PA
2	2083P0901X	Public Health & General Preventive Medicine Physician	35-05-6433	OH
3	2083S0010X	Sports Medicine (Preventive Medicine) Physician	41810-020	WI

General Provider Information

NPI Number	:	1003115072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER DENNIS RUMM M.D.

Provider Business Mailing Address
First Line	:	10993 NEW HAMPSHIRE, BLD 66,
Second Line	:	(DSORD)/ODE/CDRH, US. FDA DEPUTY DIRECTOR, DSORD
City	:	SILVER SPRING
State	:	MD
Zip	:	20993
Country	:	US
Telephone Number	:	301-796-6687
Fax Number	:

Provider Business Practice Location Address
First Line	:	DEPUTY DIRECTOR DSORD
Second Line	:	(DSORD)/ODE/CDRH, US. FDA 10993 NEW HAMPSHIRE, BLD 66,
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0001
Country	:	US
Telephone Number	:	301-796-6687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2011
Last Update Date	:	03/16/2011

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