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Individual

DR. ATENA MIA ROSAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH, FACS

Contact information

Practice address
7505 OSLER DR, O'DEA MEDICAL ARTS BUILDING, SUITE 308, TOWSON, MD 21204-7736
(410) 427-5430
(410) 427-5409
Mailing address
PO BOX 79035, BALTIMORE, MD 21279-0035
(410) 337-1386
(410) 337-3998

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1078
NH
208600000X
Surgery Physician
Primary
D0066120
MD

Other

Enumeration date
10/02/2006
Last updated
04/08/2014
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