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Individual

TONI E ROSAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-2302
(410) 328-2302
Mailing address
5450 KNOLL NORTH DR, STE 250, COLUMBIA, MD 21045-2368
(410) 328-2302
(410) 328-6956

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R098072
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005402000
MD
01
S062-0460
BC/BS REGIONAL
MD
Enumeration date
02/09/2007
Last updated
05/24/2016
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