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Individual
MR. EMIL J ROS
Active
Individual
MR. EMIL J ROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
MD040052L
PA
208D00000X
General Practice Physician
Primary
MD040052L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018738120002
—
PA
01
—
1327022
KEYSTONE HEALTH PLANS
PA
01
—
4286763
AETNA PROVIDER #
—
01
—
6252441
CIGNA PROVIDER ID#
—
01
—
989300
HEALTH AMERICA/HEALTH ASSURANCE
—
01
—
P00761985
MEDICARE RR INDIVIDUAL PTAN
—
Enumeration date
10/07/2005
Last updated
06/16/2011
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