Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | OS-003330-L | PA |
NPI | 1487308227 |
---|---|
Provider Name | Rosemary Garozzo |
First Address | Drexel Hill, PA 19026-1101 |
Second Address | Drexel Hill, PA 19026-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2022 |
Last Update Date | 10/02/2022 |