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NPI Code Detail

MEDICARE: MRS. GISELLE M ROSINIA MD

MEDICARE: MRS. GISELLE M ROSINIA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician040216GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1040216OTHERGASTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346234069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GISELLE M ROSINIA MD
Provider Business Mailing Address
First Line : 2 WHEELER ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-5700
Country : US
Telephone Number : 912-353-7744
Fax Number : 912-355-9124
Provider Business Practice Location Address
First Line : 1000 TOWNE CENTER BLVD STE 1000B
Second Line :
City : POOLER
State : GA
Zip : 31322-4129
Country : US
Telephone Number : 912-353-7744
Fax Number : 912-348-3589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 03/07/2023

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Directions to “ MRS. GISELLE M ROSINIA MD” Practice Location

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