Provider Demographics
NPI:1134384415
Name:ROSARIO, IMANI J (MD)
Entity type:Individual
Prefix:
First Name:IMANI
Middle Name:J
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1374 WHITEHORSE HAMILTON SQUARE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3701
Mailing Address - Country:US
Mailing Address - Phone:609-581-5900
Mailing Address - Fax:609-581-5901
Practice Address - Street 1:1374 WHITEHORSE HAMILTON SQUARE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3701
Practice Address - Country:US
Practice Address - Phone:609-581-5900
Practice Address - Fax:609-581-5901
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2024-01-25
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Provider Licenses
StateLicense IDTaxonomies
NY262925174400000X
NJ25MA08450700208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist