Individual
ANTONIO ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 DELAWARE AVE, MARION, OH 43302
(740) 383-7960
(740) 382-6469
Mailing address
# L-3652, COLUMBUS, OH 43260-6453
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.059997
OH
207X00000X
Orthopaedic Surgery Physician
35059997R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118422
ANTHEM
—
05
—
0795117
—
OH
01
—
0901261
UHC
—
01
—
2153652
AETNA
—
01
—
353077
SUBMITTER NO
—
Enumeration date
05/03/2006
Last updated
10/23/2015
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