MEDICARE: OTTO ROZA M.D., P.A.

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	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1629915442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OTTO ROZA M.D., P.A.

Provider Business Mailing Address
First Line	:	12931 OAK HILL AVE
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21742-2914
Country	:	US
Telephone Number	:	301-797-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 THOMAS JOHNSON DR STE 202
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-4485
Country	:	US
Telephone Number	:	301-694-7788
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JENN DAWN ROHRER
Credential	:
Telephone Number	:	301-797-9600

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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