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Individual
DR. FREDERICK S ROSEN
Active
Individual
DR. FREDERICK S ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A84955
CA
207YP0228X
Pediatric Otolaryngology Physician
Primary
A84955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A84955
LICENSE
CA
01
—
ZZZ21406Z
MEDICARE GR
—
Enumeration date
10/13/2006
Last updated
03/19/2015
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