Provider Demographics
NPI:1952360224
Name:ROJAS, JULIO RENAN (MD)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:RENAN
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:451 CHEW ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-3472
Mailing Address - Country:US
Mailing Address - Phone:484-664-2040
Mailing Address - Fax:484-664-2042
Practice Address - Street 1:451 WEST CHEW ST
Practice Address - Street 2:SUITE 207
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3472
Practice Address - Country:US
Practice Address - Phone:484-664-2040
Practice Address - Fax:484-664-2042
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2014-06-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD035549L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARO19784Medicare ID - Type Unspecified
C27685Medicare UPIN