Provider Demographics
NPI:1023897659
Name:TAORMINA, ROSARIO
Entity type:Individual
Prefix:
First Name:ROSARIO
Middle Name:
Last Name:TAORMINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ROY
Other - Middle Name:
Other - Last Name:TAORMINA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:409 ROOSEVELT TRL
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4821
Mailing Address - Country:US
Mailing Address - Phone:207-400-8600
Mailing Address - Fax:
Practice Address - Street 1:409 ROOSEVELT TRL
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-4821
Practice Address - Country:US
Practice Address - Phone:207-400-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant