Individual
DR. FREDERIC ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
72 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 374-0386
(978) 372-3631
Mailing address
72 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 374-0386
(978) 372-3631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MA2139
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0392360001
MEDICARE OTHER
MA
05
—
0396516
—
MA
01
—
151464
HARV PILGRIM
—
01
—
2200374
UNITED HEALTH
—
01
—
507326
AETNA
—
01
—
705074
TUFTS
MA
01
—
W15354
BCBS
MA
Enumeration date
11/08/2005
Last updated
01/30/2009
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