| Doctor Name: | MONIQUE R. ROLLE |
| NPI Number: | 1003078213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | PO1000107 |
| Business Practice Address: | 44135 Woodridge Pkwy Suite 180 Leesburg, VA - 201761244 |
| Business Phone Number: | 5712230424 |
| Business Fax Number: | 5712230425 |
| Mailing Address: | 10845 Philadelphia Rd, WHITE MARSH |
| State: | MD |
| Postal Code: | 211621717 |
| Phone Number: | 4103350008 |
| Fax Number: | 4103353113 |
| NPI Enumeration Date: | 06/29/2008 |
| NPI Last Update Date: | 12/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO1000107 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |