Organization
ANDREW P. ROSEN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW P ROSEN M.D. (OWNER)
(915) 838-7940
Entity
Organization
Contact information
Practice address
1600 MEDICAL CENTER ST, SUITE 307, EL PASO, TX 79902-5002
(915) 838-7940
(915) 838-7808
Mailing address
1600 MEDICAL CENTER ST, SUITE 307, EL PASO, TX 79902-5002
(915) 838-7940
(915) 838-7808
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J2287
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096GE
BLUE CROSS BLUE SHIELD
TX
05
—
147382901
—
TX
01
—
J2287
STATE MEDICAL LICENSE
TX
Enumeration date
06/28/2007
Last updated
04/27/2009
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