Individual
ROSA I MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(443) 477-0949
(410) 822-9683
Mailing address
7651 WOODLAND DR, EASTON, MD 21601-8141
(410) 310-6245
(410) 822-9683
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D0064147
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208476
PRIORITY PARTNERS
MD
05
—
409993100
—
MD
01
—
88675501
CAREFIRST BS
MD
01
—
E6360012
FEDERAL BS
MD
01
—
P00353286
PALMETTO GBA/RAILROAD MEDICARE
MD
Enumeration date
06/03/2006
Last updated
09/10/2009
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