Organization
SMA MEDICINE, LLC
Active
Other names
Rufino V. Rosal
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUFINO VILLAR ROSAL MD. (PRACTITIONER)
(302) 653-6174
Entity
Organization
Contact information
Practice address
38 DEAK DR, SMYRNA, DE 19977-1268
(302) 653-6174
(302) 653-9563
Mailing address
198 RAVEN CIRCLE, CAMDEN WYOMING, DE 19934-4016
(302) 678-2334
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
C1 0005332
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000945801
—
DE
01
—
DE5704
RAILROAD MEDICARE
DE
Enumeration date
04/19/2006
Last updated
05/12/2008
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