Individual
ANTHONY S ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 RONALD REAGAN PKWY, SUITE 206, AVON, IN 46123-6910
(317) 217-2888
(317) 217-2999
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01057577A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01057577A
IN
207RP1001X
Pulmonary Disease Physician
01057577
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200479000
—
IN
Enumeration date
05/05/2006
Last updated
03/05/2025
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