| Victor M. Rosado Md Pa | |
|
650 Statesville Blvd Ste1 Salisbury NC 28144-2284 | |
| (704) 636-9912 | |
| (704) 639-0794 |
| Full Name | Victor M. Rosado Md Pa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 650 Statesville Blvd, Salisbury, North Carolina |
| Authorized Official Name and Position | Nancy E Peeler (OFFICE MANAGER) |
| Authorized Official Contact | 7046369912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor M. Rosado Md Pa 650 Statesville Blvd Ste1 Salisbury NC 28144-2284 Ph: (704) 636-9912 | Victor M. Rosado Md Pa 650 Statesville Blvd Ste1 Salisbury NC 28144-2284 Ph: (704) 636-9912 |
| NPI Number | 1033397526 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 02/06/2008 |
| Medicare PECOS PAC ID | 2163614181 |
|---|---|
| Medicare Enrollment ID | O20101008001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033397526 | NPI | - | NPPES |
| 8973062 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 35188 (North Carolina) | Primary |
| Provider Name | Victor M Rosado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528011863 PECOS PAC ID: 4789876715 Enrollment ID: I20101008001155 |
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