# T ROSE MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538383807
- **Authorized official:** DR. T ROSE MD (MD)
- **Authorized official phone:** (347) 628-2603

## Contact information

- **Practice address:** 710 TENNENT RD, SUITE\#204, MANALAPAN, NJ 07726-3161
- **Practice address phone:** (732) 972-1570
- **Mailing address:** 21 GREEN SPRINGS WAY, FREEHOLD, NJ 07728-9070
- **Mailing address phone:** (347) 628-2603
- **Mailing address fax:** (732) 462-0868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MA05615100 | NJ | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 05/23/2008