Provider Demographics
NPI:1215065537
Name:ROSSELLI, JULIA G (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:G
Last Name:ROSSELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 62063
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-2063
Mailing Address - Country:US
Mailing Address - Phone:410-706-5181
Mailing Address - Fax:410-706-5103
Practice Address - Street 1:650 W LOMBARD ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1513
Practice Address - Country:US
Practice Address - Phone:410-328-6749
Practice Address - Fax:410-328-6136
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD674702080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD415090200Medicaid
MD132223ZAKHMedicare PIN