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NPI Code Detail

MEDICARE: DR. ELVIS ROSERO D.P.M

MEDICARE: DR. ELVIS ROSERO D.P.M
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
1213ES0103XFoot & Ankle Surgery Podiatrist25MD00350300NJ
2213ES0103XFoot & Ankle Surgery PodiatristN006317NY

General Provider Information

NPI Number : 1942461157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELVIS ROSERO D.P.M
Provider Business Mailing Address
First Line : 1076 PARKWAY AVE
Second Line :
City : EWING
State : NJ
Zip : 08628-3002
Country : US
Telephone Number : 917-239-5169
Fax Number :
Provider Business Practice Location Address
First Line : 1076 PARKWAY AVE
Second Line :
City : EWING
State : NJ
Zip : 08628-3002
Country : US
Telephone Number : 917-239-5169
Fax Number : 609-883-6160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2008
Last Update Date : 06/24/2019

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Directions to “ DR. ELVIS ROSERO D.P.M” Practice Location

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