Individual
DR. ROGER CRAIG ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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