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1114905106 NPI number — HUMBERTO ALFREDO ROSSI MD

NPI Number: 1114905106
Health Care Provider/Practitioner: HUMBERTO ALFREDO ROSSI MD

Information about “1114905106” NPI (HUMBERTO ALFREDO ROSSI MD) exists in 1114905106 in HTML format HTML  |  1114905106 in plain Text format TXT  |  1114905106 in PDF (Portable Document Format) PDF  |  1114905106 in an XML format XML  formats.

NPI Number : 1114905106 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114905106",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROSSI",
    "FirstName": "HUMBERTO",
    "MiddleName": "ALFREDO",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROSSI",
    "OtherFirstName": "HUMBERTO",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD PA",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "305 MARYLAND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAMBRIDGE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21613-1926",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-228-1541",
    "MailingAddressFaxNumber": "410-228-1542",
    "FirstLinePracticeLocationAddress": "305 MARYLAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAMBRIDGE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21613-1926",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-228-1541",
    "PracticeLocationAddressFaxNumber": "410-228-1542",
    "EnumerationDate": "01/09/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": "D14540",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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