MEDICARE: DR. MELISSA ROSATO 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
1	207Q00000X	Family Medicine Physician	MD433306	PA
2	207Q00000X	Family Medicine Physician	25MA 09061500	NJ

General Provider Information

NPI Number	:	1013182450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA ROSATO MD

Provider Business Mailing Address
First Line	:	239 HURFFVILLE CROSSKEYS RD
Second Line	:
City	:	SEWELL
State	:	NJ
Zip	:	08080-4002
Country	:	US
Telephone Number	:	856-341-8181
Fax Number	:

Provider Business Practice Location Address
First Line	:	239 HURFFVILLE CROSSKEYS RD
Second Line	:
City	:	SEWELL
State	:	NJ
Zip	:	08080-4002
Country	:	US
Telephone Number	:	856-341-8181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	04/10/2012

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