Individual
EVAN G ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 UPPER RAGSDALE DR BLDG A, MONTEREY, CA 93940-5736
(831) 333-3040
(831) 886-3639
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(818) 649-1000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G143954
CA
208800000X
Urology Physician
ME68557
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16933
WELLCARE
FL
01
—
203920
AVMED
FL
01
—
27150
BCBS
FL
01
—
3781724
CIGNA
FL
01
—
5301
DIMENSION HEALTH PPO
FL
01
—
5898115
AETNA
FL
01
—
P968835
OPTIMUM
FL
01
—
P988893
FREEDOM
FL
01
—
S817401
CAREPLUS
FL
Enumeration date
07/06/2006
Last updated
02/21/2023
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