Individual
MR. ELISEO ROSARIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 BELVEDERE ST, CARLISLE, PA 17013-4001
(717) 243-1653
(717) 243-6708
Mailing address
804 BELVEDERE ST, CARLISLE, PA 17013-4001
(717) 243-1653
(717) 243-6708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
038751E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001090290
—
PA
01
—
01679401
CAPITOL BLUE CROSS PROVID
PA
01
—
167737
HIGHMARK PROVIDER NUMBER
PA
Enumeration date
06/07/2006
Last updated
08/12/2015
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