Provider Demographics
NPI:1710029475
Name:ROSATI, ROBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:ROSATI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3543 ROSE OF SHARON RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-3308
Mailing Address - Country:US
Mailing Address - Phone:919-383-7276
Mailing Address - Fax:919-309-4695
Practice Address - Street 1:3543 ROSE OF SHARON RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27712-3308
Practice Address - Country:US
Practice Address - Phone:919-383-7276
Practice Address - Fax:919-309-4695
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC15570207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC86204Medicare UPIN