Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 35-087972 | OH |
NPI | 1396772653 |
---|---|
Provider Name | Rose A Gubitosi-Klug |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 05/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221226 | UNISON (01) | OH |
000000526216 | ANTHEM (01) | OH |
1022847300001 | (05) | PA |
1396772653 | (05) | MI |
2659510 | (05) | OH |
2659510 | BCMH (01) | OH |
363591 | WELLCARE (01) | OH |
7188773 | AETNA (01) | OH |
745910 | BUCKEYE (01) | OH |
I55343 | (02) | OH |