Provider Demographics
NPI:1659835684
Name:ROSEMOND DICKSON BARTELS, CRNP, LLC
Entity type:Organization
Organization Name:ROSEMOND DICKSON BARTELS, CRNP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKSON BARTELS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:301-856-0334
Mailing Address - Street 1:9131 PISCATAWAY RD STE 740
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2581
Mailing Address - Country:US
Mailing Address - Phone:301-877-2456
Mailing Address - Fax:
Practice Address - Street 1:9131 PISCATAWAY RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2508
Practice Address - Country:US
Practice Address - Phone:301-856-0334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty