MEDICARE: ROBERT F CADOGAN MD

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	207Q00000X	Family Medicine Physician	200200872	NC
2	207Q00000X	Family Medicine Physician	D51318	MD

General Provider Information

NPI Number	:	1598767691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT F CADOGAN MD

Provider Business Mailing Address
First Line	:	5450 KNOLL NORTH DR STE 180
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2366
Country	:	US
Telephone Number	:	410-964-8500
Fax Number	:	410-964-5315

Provider Business Practice Location Address
First Line	:	5450 KNOLL NORTH DR STE 250
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2368
Country	:	US
Telephone Number	:	410-964-6200
Fax Number	:	410-964-5315

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

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	01/12/2023

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