Individual
DR. SAMUEL H ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2097 HENRY TECKLENBURG DR STE 211W, CHARLESTON, SC 29414-5739
(843) 958-2555
(843) 402-1961
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
10866
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106888
—
SC
01
—
P00886821
RAILROAD MC ID-RSFPN
SC
Enumeration date
07/08/2005
Last updated
01/29/2021
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