| Rosanna Hodesto Md Pa | |
|
773 Teaneck Road Teaneck NJ 07666 | |
| (201) 837-7662 | |
| (201) 837-7446 |
| Full Name | Rosanna Hodesto Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 773 Teaneck Road, Teaneck, New Jersey |
| Authorized Official Name and Position | Rosanna Modesto (INTERNAL MEDICINE) |
| Authorized Official Contact | 2018377662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosanna Hodesto Md Pa 773 Teaneck Road Teaneck NJ 07666 Ph: (201) 837-7662 | Rosanna Hodesto Md Pa 773 Teaneck Road Teaneck NJ 07666 Ph: (201) 837-7662 |
| NPI Number | 1831206176 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831206176 | NPI | - | NPPES |
| 658605 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA62208 (New Jersey) | Primary |
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