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Individual
ANTONIO A ROSA
Active
Individual
ANTONIO A ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051268
GA
208000000X
Pediatrics Physician
MD61412970
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000953004B
—
GA
05
—
2238141
—
WA
Enumeration date
11/21/2006
Last updated
06/16/2023
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