Individual
DR. CLARK A ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2330 POST ST FL 5, SAN FRANCISCO, CA 94115-3465
(415) 885-7700
Mailing address
200 LOTHROP ST, SUITE 300, EYE & EAR INSTITUTE, PITTSBURGH, PA 15213-2546
(412) 647-2100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD056293L
PA
207Y00000X
Otolaryngology Physician
Primary
G152101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001541874
—
PA
Enumeration date
02/21/2006
Last updated
03/17/2018
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