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Individual

STUART R. ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
115 W SILVER ST, WESTFIELD, MA 01085-3628
(413) 568-2811
(610) 834-2862
Mailing address
1000 RIVER RD, SUITE 100, CONSHOHOCKEN, PA 19428-2439
(800) 355-0808
(610) 834-2862

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34965
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000032860
BMC HEALTH NET
MA
01
16007
HEALTHCARE NEW ENGLAND
MA
05
2024861
MA
01
930085934
RAILROAD MEDICARE
MA
01
ROG01034
BLUE SHIELD
MA
Enumeration date
06/12/2006
Last updated
11/26/2007
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