Individual
ROBERT A ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4810 IDAHO AVE, NASHVILLE, TN 37209-3506
(732) 673-2007
Mailing address
4810 IDAHO AVE, NASHVILLE, TN 37209-3506
(326) 732-0077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101238926
VA
208D00000X
General Practice Physician
0101238926
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10287839
—
VA
01
—
246700
BLUE SHIELD
VA
01
—
P00348051
RAILROAD MEDICARE
VA
Enumeration date
05/19/2006
Last updated
02/15/2023
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