Individual
BOAZ DOV ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 310, ANNAPOLIS, MD 21401-3046
(410) 224-0040
(410) 224-4232
Mailing address
201 DEFENSE HWY, SUITE 100, ANNAPOLIS, MD 21401-8943
(443) 481-3354
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D72843
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045005700
—
MD
01
—
AT540007
BCBS
MD
Enumeration date
05/30/2006
Last updated
01/25/2017
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