Dr Juan De Rosas Physician PC

NPI #1023016250 in Lockport, New York

Provider Information

NPI Number: 1023016250
Entity Type: Organization
Organization Name: Dr Juan De Rosas Physician PC
Primary Specialty: Urology
Enumeration Date: Jul 12, 2005
Last Updated: Oct 23, 2007

Practice Location

Address: 15 ELIZABETH DR
City: Lockport
State: New York
ZIP Code: 14094-5226
Phone: (716) 434-8802

Authorized Official

Name: JUAN F DE ROSAS, MD
Title: PRESIDENT OWNER
Phone: (716) 434-8802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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