Individual
DR. ROGER CRAIG ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 CAMP ST, HYANNIS, MA 02601-3063
(508) 775-1984
Mailing address
100 CAMP ST, HYANNIS, MA 02601-3063
(508) 775-1984
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
53027
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-01032
UNITED HEALTHCARE
MA
01
—
230000567
RR MEDICARE
MA
01
—
29059
HARVARD PILGRIM HEALTHCAR
MA
05
—
6177735
—
MA
01
—
722914
TUFTS MEDICARE PREFERRED
MA
01
—
J03236
BCBS
MA
Enumeration date
07/04/2006
Last updated
08/17/2023
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