Individual
DR. ANTONIA ROGADO SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 WEST 168TH VC14-212, NY, NY 10032
(412) 647-6125
Mailing address
630 WEST 168TH VC14-212, NY, NY 10032
(412) 647-6125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD071773L
PA
207ZP0101X
Anatomic Pathology Physician
Primary
268045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001829553
—
PA
Enumeration date
02/21/2006
Last updated
08/27/2014
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