Individual
DR. ROSEANN MARIE RUPP-MAIOLATESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
117 LACKAWANNA AVE, OLYPHANT, PA 18447-1449
(570) 383-9601
(570) 383-9613
Mailing address
42 SPRING ST, CARBONDALE, PA 18407-2027
(570) 281-3332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-007219-T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014136220003
—
PA
01
—
075223
FIRST PRIORITY HEALTH
PA
01
—
22504
GEISINGER
PA
01
—
396606
NVA
PA
01
—
736553
US HEALTH CARE
PA
Enumeration date
01/04/2007
Last updated
07/08/2007
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