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Individual
MR. MATTHEW RYAN ROSSOMANDO
Active
Individual
MR. MATTHEW RYAN ROSSOMANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5487
MA
363A00000X
Physician Assistant
Primary
PA12799
TX
363AM0700X
Medical Physician Assistant
25MP00263900
NJ
Other
Enumeration date
11/10/2011
Last updated
03/17/2023
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