Individual
JONATHAN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(203) 434-4464
Mailing address
299 CARPENTER ST, UNIT 206, PROVIDENCE, RI 02909-1451
(203) 434-4464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03189
RI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD19196
RI
Other
Enumeration date
07/02/2014
Last updated
05/25/2023
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