Basic Information
| Provider Information | |||||||||
| NPI: | 1629277710 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROSSI | ||||||||
| FirstName: | ANA | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1600B CONGRESS ST | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | ME | ||||||||
| PostalCode: | 041022124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2077745222 | ||||||||
| FaxNumber: | 2077614433 | ||||||||
| Practice Location | |||||||||
| Address1: | 1968 PEACHTREE ROAD NE | ||||||||
| Address2: | BLD 77 5TH FLOOR | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4046054600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2007 | ||||||||
| LastUpdateDate: | 07/08/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | MD18623 | ME | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207RN0300X | 85718 | GA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207R00000X | MD18623 | ME | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | EC071061 | ME | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.