Individual
DR. EDWIN J ROGUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
(814) 231-8569
Mailing address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
(814) 231-8569
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD046823L
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD046823L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304539
—
PA
Enumeration date
11/24/2006
Last updated
04/02/2019
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