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Individual
ANDREW L. ROSE
Active
Individual
ANDREW L. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101056036
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005630231
—
VA
01
—
080121622
RAILROAD MEDICARE
VA
01
—
258474
MAMSI
VA
01
—
333344
ANTHEM BCBS OF VA
VA
01
—
43447
SENTARA
VA
01
—
5454581
AETNA LIFE
VA
01
—
7533015
CIGNA
VA
01
—
78955
SOUTHERN HEALTH SERVICES
VA
01
—
C09633
GROUP PTAN
VA
Enumeration date
06/27/2006
Last updated
01/30/2012
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