Individual
OSCAR JAVIER DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 532-7331
Mailing address
6 MAPLE ST, WHITINSVILLE, MA 01588-2217
(774) 482-0472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2357635
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2357635
MA
Other
Enumeration date
10/21/2021
Last updated
06/27/2024
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