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Individual

DR. DAVID ROBERT ROSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111
(216) 476-6961
Mailing address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-6961

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2017008628
MO
208600000X
Surgery Physician
35.133330
OH
208600000X
Surgery Physician
A125015
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
35.133330
OH

Other

Enumeration date
06/01/2013
Last updated
05/14/2020
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