Individual
JONATHAN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
268360
MA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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