# DR. DANIELLE MALBASA ROSE

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

## Provider details

- **NPI number:** 1871605303
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35016 | NC | — |
| 208000000X | Pediatrics Physician | 35016 | NC | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 35016 | NC | Yes |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | 35016 | NC | — |
| 2086S0120X | Pediatric Surgery Physician | 35016 | NC | — |
| 208D00000X | General Practice Physician | 35016 | NC | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 11/27/2018