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Individual
ROBERT A ROSEN
Active
Individual
ROBERT A ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101238926
VA
208D00000X
General Practice Physician
0101238926
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10287839
—
VA
01
—
246700
BLUE SHIELD
VA
01
—
P00348051
RAILROAD MEDICARE
VA
Enumeration date
05/19/2006
Last updated
02/15/2023
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