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Individual

DR. ANTONIO J DELROSARIO I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6501 E LIVINGSTON AVE, SUITE 2, REYNOLDSBURG, OH 43068-3561
(614) 751-4288
(614) 751-4568
Mailing address
6501 E LIVINGSTON AVE, SUITE 1, REYNOLDSBURG, OH 43068-3561
(614) 864-0165
(614) 864-1925

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35033390D
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
35033390D
OH
208000000X
Pediatrics Physician
35033390D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000117257
ANTHEM
OH
05
0168278
OH
01
1200123
UNITED HEALTH CARE
OH
Enumeration date
01/09/2006
Last updated
03/07/2023
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