Individual
DR. JACQUELINE EVA ROSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5675 HARPERS FARM RD, COLUMBIA, MD 21044-2268
(410) 964-5423
(410) 964-4332
Mailing address
5675 HARPERS FARM RD, COLUMBIA, MD 21044-2268
(410) 964-5423
(410) 964-4332
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0039059
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD30640
DC
Other
Enumeration date
07/21/2005
Last updated
09/11/2025
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