Individual
DR. MICHAEL L. DELROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20 OSBORNE ST, JOHNSTOWN, PA 15905
(814) 536-4675
(814) 536-8897
Mailing address
20 OSBORNE ST, JOHNSTOWN, PA 15905
(814) 536-4675
(814) 536-8897
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS028079L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102928
UPMC
PA
01
—
DE724957
UNITED CONCORDIA DENTAL
PA
01
—
VA112926
HIGHMARK BCBS
PA
Enumeration date
11/21/2006
Last updated
09/08/2010
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