Provider Demographics
NPI:1376794057
Name:RECTO, ROSALIE T (PA-C)
Entity type:Individual
Prefix:MS
First Name:ROSALIE
Middle Name:T
Last Name:RECTO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ROSALIE
Other - Middle Name:T
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1600 ROCKLAND RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3607
Mailing Address - Country:US
Mailing Address - Phone:302-651-5993
Mailing Address - Fax:302-651-6410
Practice Address - Street 1:1600 ROCKLAND ROAD
Practice Address - Street 2:DIVISION OF NEUROSURGERY
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803
Practice Address - Country:US
Practice Address - Phone:302-651-5993
Practice Address - Fax:302-651-6410
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA003236L363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical