Individual
MR. SAMUEL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
458 OLD STREET RD, SUITE 202, PETERBOROUGH, NH 03458-1265
(603) 924-9490
Mailing address
458 OLD STREET RD, SUITE 202, PETERBOROUGH, NH 03458-1265
(603) 924-9490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
324
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30426923
—
NH
01
—
RE161402
MEDICARE PTAN
NH
Enumeration date
11/12/2007
Last updated
05/24/2011
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