Provider Demographics
NPI:1679280523
Name:ROSCA, EUGEN TITIAN
Entity Type:Individual
Prefix:
First Name:EUGEN
Middle Name:TITIAN
Last Name:ROSCA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8639 MILMONT ST NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-1647
Mailing Address - Country:US
Mailing Address - Phone:330-327-2553
Mailing Address - Fax:
Practice Address - Street 1:8639 MILMONT ST NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-1647
Practice Address - Country:US
Practice Address - Phone:330-327-2553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty