Individual
DR. DAVID IAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-6269
Mailing address
35 STONE ROOT LN, SUDBURY, MA 01776-1321
(978) 440-8258
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
154584
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3182002
—
MA
Enumeration date
02/21/2006
Last updated
10/22/2012
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