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Individual

DR. LEWIS J. ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
(215) 955-2340
Mailing address
925 CHESTNUT ST, STE 320A, PHILADELPHIA, PA 19107-4246

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD022284E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008026440003
PA
05
0196410
NJ
Enumeration date
11/29/2006
Last updated
04/13/2017
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