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NPI Code Detail

MEDICARE: DR. CHRISTOPHER ROSANOVA DO

MEDICARE: DR. CHRISTOPHER ROSANOVA DO
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
1207P00000XEmergency Medicine PhysicianOS8380FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659367506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER ROSANOVA DO
Provider Business Mailing Address
First Line : 3114 CROASDAILE DR
Second Line : SUITE 200
City : DURHAM
State : NC
Zip : 27705-2508
Country : US
Telephone Number : 919-425-1565
Fax Number : 919-425-0478
Provider Business Practice Location Address
First Line : 566 RUIN CREEK RD
Second Line : EMERGENCY DEPARTMENT
City : HENDERSON
State : NC
Zip : 27536-2927
Country : US
Telephone Number : 919-425-1565
Fax Number : 919-425-0478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 11/05/2009

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