Provider Demographics
NPI:1104159391
Name:ROSEBRAUGH, CURTIS (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:
Last Name:ROSEBRAUGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17316 AVENLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:ASHTON
Mailing Address - State:MD
Mailing Address - Zip Code:20861-3633
Mailing Address - Country:US
Mailing Address - Phone:301-570-0843
Mailing Address - Fax:
Practice Address - Street 1:17316 AVENLEIGH DR
Practice Address - Street 2:
Practice Address - City:ASHTON
Practice Address - State:MD
Practice Address - Zip Code:20861-3633
Practice Address - Country:US
Practice Address - Phone:301-570-0843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-07
Last Update Date:2009-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0053148207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine