Individual
JED STUART ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 STONER AVE, SUITE 206, WESTMINSTER, MD 21157-5698
(410) 876-4400
Mailing address
295 STONER AVE, SUITE 206, WESTMINSTER, MD 21157-5698
(410) 876-4400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D34313
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064181200
—
MD
01
—
182326
AETNA HMO ID
MD
01
—
225486
MAMSI
MD
01
—
4330973
AETNA ID
MD
01
—
52063401
BC/BS ID
MD
01
—
8295
CAREFIRST BC/BS ID
MD
01
—
W106
FEP / BLUE CHOICE
MD
Enumeration date
01/26/2006
Last updated
06/24/2010
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