Individual
DR. ROGELIO VIRGILIO B AMISOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 N FAIRFIELD RD., 120, BEAVERCREEK, OH 45432-4543
(937) 320-8888
(937) 320-3848
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-08-4304
OH
2080A0000X
Pediatric Adolescent Medicine Physician
35-08-4304
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2507246
—
OH
Enumeration date
04/27/2006
Last updated
10/17/2023
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