Roque, Dana Marie

Roque, Dana Marie is an sole proprietor health care provider with primary practice located at 22 S Greene St Suite S3Ax-31, Baltimore MD 21201-1544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Roque, Dana Marie can be contacted via phone (667) 214-1302.

Contact Information

Primary practice address
22 S Greene St Suite S3Ax-31 Baltimore MD 21201-1544
Fax: (410) 328-3379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MT 191169 Pennsylvania
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 049475 Connecticut
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X D0078133 Maryland

Profile Details

NPI number 1588869994
LBN Legal business name Roque, Dana Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2007
Last updated May 31st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588869994 NPPES
Maryland MEDICAID 324852600

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