Organization
MARIANNE W ROSEN,M.D & ASSOCIATESLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANNE W ROSEN M.D. (OWNER)
(843) 723-6529
Entity
Organization
Contact information
Practice address
776 DANIEL ELLIS DR, UNIT 1 A, CHARLESTON, SC 29412-3094
(843) 723-6529
Mailing address
776 DANIEL ELLIS DR, UNIT 1 A, CHARLESTON, SC 29412-3094
(843) 723-6529
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR6551
RAIL ROAD MEDICARE
SC
Enumeration date
09/08/2010
Last updated
01/30/2012
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