Provider Demographics
NPI:1194983304
Name:KESSLER, ROANNA (MD)
Entity type:Individual
Prefix:DR
First Name:ROANNA
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROANNA
Other - Middle Name:
Other - Last Name:TRISDORFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6500 STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5317
Mailing Address - Country:US
Mailing Address - Phone:646-825-1051
Mailing Address - Fax:
Practice Address - Street 1:1 E 31ST ST # N200
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-3902
Practice Address - Country:US
Practice Address - Phone:410-516-8270
Practice Address - Fax:410-516-4784
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-26
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD040304208000000X
NY252656-1208000000X
MDD0082378208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics