Individual
DR. MARC J ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19636 N 27TH AVE, PHOENIX, AZ 85027-4013
(602) 298-8888
Mailing address
19636 N 27TH AVE, PHOENIX, AZ 85027-4013
(602) 298-8888
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
12437
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220046
—
AZ
01
—
3Z3941
HEALTHNET
AZ
Enumeration date
02/22/2006
Last updated
02/08/2018
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