Individual
MS. JOSEPHINE VIDA DEL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
853 WASHINGTON SQUARE MALL, WASHINGTON, NC 27889-3530
(252) 623-2000
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-02209
NC
363AM0700X
Medical Physician Assistant
Primary
0010-02209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013239995
—
NC
01
—
1560W
BCBS NC
NC
Enumeration date
02/19/2010
Last updated
01/19/2026
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