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Individual

JACK I ROSEMARIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
222 WESTCHESTER AVE, STE 308, WHITE PLAINS, NY 10604-2906
(914) 683-1555
(914) 683-1026
Mailing address
222 WESTCHESTER AVE, STE 308, WHITE PLAINS, NY 10604-2906
(914) 683-1555
(914) 683-1026

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
138599
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00762125
NY
Enumeration date
12/23/2005
Last updated
07/08/2007
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