Individual
REGINA M ROSACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35-064926
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027623
ANTHEM
OH
01
—
000000221289
UNISON
OH
01
—
000000526093
ANTHEM
OH
01
—
1020967470001
PA MEDICAID
PA
01
—
2018515
BCMH
OH
05
—
2018515
—
OH
01
—
363965
WELLCARE
OH
01
—
745965
BUCKEYE
OH
01
—
801820
AETNA
OH
Enumeration date
10/03/2006
Last updated
07/02/2012
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