Individual
DR. JOEL E ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3618 BROADWAY, NEW YORK, NY 10031-3219
(212) 926-2260
Mailing address
3618 BROADWAY, NEW YORK, NY 10031-3219
(212) 926-2260
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
298646
NY
208000000X
Pediatrics Physician
MD039346E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016474430001
—
PA
Enumeration date
04/17/2006
Last updated
12/13/2024
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