Individual
RONALD G ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MORRIS ST STE 103, CHARLESTON, WV 25301-1409
(304) 388-7040
Mailing address
PO BOX 126, EUFAULA, AL 36072-0126
(334) 688-7350
(334) 688-7353
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
32009
WV
208600000X
Surgery Physician
6920
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528178399
—
AL
01
—
515-46700
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
08/30/2006
Last updated
03/08/2024
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