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NPI Code Detail

MEDICARE: DOMINGO J ROSARIO M.D.

MEDICARE:   DOMINGO J ROSARIO  M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician01060799AIN

General Provider Information

NPI Number : 1558336537
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINGO J ROSARIO M.D.
Provider Business Mailing Address
First Line : 1983 OAKWELL FARMS PKWY
Second Line : # 1804
City : SAN ANTONIO
State : TX
Zip : 78218-1724
Country : US
Telephone Number : 210-831-2275
Fax Number :
Provider Business Practice Location Address
First Line : 3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS)
Second Line : FORT SAM HOUSTON
City : SAN ANTONIO
State : TX
Zip : 78234-6200
Country : US
Telephone Number : 210-916-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 07/08/2007

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Directions to “ DOMINGO J ROSARIO M.D.” Practice Location

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