Provider Demographics
NPI:1396718425
Name:ROZUK, CLAUDIA M (MD)
Entity type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:M
Last Name:ROZUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1109 EASTERN AVENUE
Mailing Address - Street 2:PO BOX 769
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805
Mailing Address - Country:US
Mailing Address - Phone:419-281-4959
Mailing Address - Fax:419-281-8767
Practice Address - Street 1:981 WOOSTER RD
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:OH
Practice Address - Zip Code:44654-1536
Practice Address - Country:US
Practice Address - Phone:330-674-1015
Practice Address - Fax:330-674-9314
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-04-6606R2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0703742Medicaid
OH0608263Medicare PIN