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NPI Code Detail

MEDICARE: LIZBETH ROSARIO

MEDICARE: LIZBETH ROSARIO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCT

General Provider Information

NPI Number : 1841129400
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZBETH ROSARIO
Provider Business Mailing Address
First Line : 200 WOODMONT AVE APT 91
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-2711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 180 FAIRFIELD AVE
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06604-4252
Country : US
Telephone Number : 203-394-6529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ LIZBETH ROSARIO ” Practice Location

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