Individual
DR. DIANE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
224 TAYLOR MILLS RD, SUITE 104, MANALAPAN, NJ 07726-3281
(732) 409-0128
(732) 409-1131
Mailing address
224 TAYLOR MILLS RD, SUITE 104, MANALAPAN, NJ 07726-3281
(732) 409-0128
(732) 409-1131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA04057800
NJ
Other
Enumeration date
12/11/2006
Last updated
07/09/2007
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