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Organization
MARC W. ROSEN, D.C.,P.A.
Active
Organization
MARC W. ROSEN, D.C.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC WAYNE ROSEN D.C. (PRESIDENT)
(561) 392-5555
Entity
Organization
Contact information
Practice address
7300 W CAMINO REAL, SUITE 104, BOCA RATON, FL 33433-5512
(561) 392-5555
(561) 852-9925
Mailing address
7300 W CAMINO REAL, SUITE 104, BOCA RATON, FL 33433-5512
(561) 392-5555
(561) 852-9925
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55195
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/09/2012
Last updated
05/09/2012
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