Individual
EDWIN R ROZARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
58 16TH STREET, WHEELING, WV 26003
(304) 234-2122
(304) 234-2006
Mailing address
58 16TH STREET, WHEELING, WV 26003
(304) 234-2122
(304) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29482
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0389613
—
OH
Enumeration date
04/25/2014
Last updated
06/04/2020
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