Organization
T ROSE MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. T ROSE MD (MD)
(347) 628-2603
Entity
Organization
Contact information
Practice address
710 TENNENT RD, SUITE#204, MANALAPAN, NJ 07726-3161
(732) 972-1570
Mailing address
21 GREEN SPRINGS WAY, FREEHOLD, NJ 07728-9070
(347) 628-2603
(732) 462-0868
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MA05615100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044962
—
NJ
Enumeration date
04/11/2007
Last updated
05/23/2008
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