# ANDREW L. ROSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437186129
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101056036 | VA | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 01/30/2012

## 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 |
