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Individual

CHARLES R ROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2112 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601-2644
(717) 544-3059
(717) 544-3638
Mailing address
2112 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601-2644
(717) 544-3059
(717) 544-3638

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD030935E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009501550004
PA
01
01598802
CAPITAL BLUE CROSS
PA
01
124951
HIGHMARK BLUE SHIELD
PA
01
1519063
GATEWAY HEALTH PLAN
PA
01
33609
AMERIHEALTH MERCY HEALTH
PA
01
4347043
AETNA NON-HMO
PA
01
578996
AETNA HMO
PA
01
C30914
HEALTH ASSURANCE
PA
Enumeration date
10/05/2005
Last updated
04/10/2008
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