Individual
EVAN G ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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