Provider Demographics
NPI:1427714567
Name:ROSANSKY, JOSHUA ALAN (PA-C)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ALAN
Last Name:ROSANSKY
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:14995 SHADY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-8726
Mailing Address - Country:US
Mailing Address - Phone:301-251-1433
Mailing Address - Fax:301-424-5266
Practice Address - Street 1:1850 TOWN CENTER PKWY STE 400
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3300
Practice Address - Country:US
Practice Address - Phone:703-810-5202
Practice Address - Fax:037-810-5420
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2024-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDC0008336363AS0400X
DCPA200001373363AS0400X
VA0110008936363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical