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Organization
ROSE MEDICAL ASSSOCIATES PC
Active
Organization
ROSE MEDICAL ASSSOCIATES PC
Active
Other names
Rose Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD L COPPOLO JR. MD (PRESIDENT)
(724) 349-8311
Entity
Organization
Contact information
Practice address
15 SOUTH 8TH STREET, SUITE 201, INDIANA, PA 15701
(724) 349-8311
(724) 349-8311
Mailing address
15 SOUTH 8TH STREET, SUITE 201, INDIANA, PA 15701
(724) 349-8311
(724) 349-8331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD019377E
PA
207R00000X
Internal Medicine Physician
MD040660E
PA
207R00000X
Internal Medicine Physician
MD069735L
PA
207R00000X
Internal Medicine Physician
MD19405E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010119580003
MA
PA
01
—
0012162760003
MA
PA
01
—
0012170590003
MA
PA
01
—
0075777490003
MA
PA
01
—
838362
BS
—
Enumeration date
01/30/2006
Last updated
08/22/2020
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