Individual
IDALIA VANESSA ROSADO-TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3802 POPLAR HILL RD, STE C, CHESAPEAKE, VA 23321-5531
(757) 673-8383
(757) 483-9350
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
0101256229
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411084600
—
MD
01
—
52-1888193
TAX ID #
MD
Enumeration date
08/17/2006
Last updated
05/07/2015
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