Individual
MR. PHILLIP D ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
222 CEDAR LANE, SUITE 120, TEANECK, NJ 07666
(201) 836-5332
(201) 836-4002
Mailing address
492C CEDAR LN, SUITE 120, TEANECK, NJ 07666-1713
(201) 357-5468
(201) 636-7167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00182600
NJ
Other
Enumeration date
09/13/2007
Last updated
03/02/2016
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