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Individual

DR. JOSEPH E ROSEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21 BELMONT AVE, SUITE1, BRATTLEBORO, VT 05301-7110
(802) 257-3751
(802) 257-3754
Mailing address
21 BELMONT AVE, SUITE1, BRATTLEBORO, VT 05301-7110
(802) 257-3751
(802) 257-3754

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19652
BLUE CROSS/BLUE SHIELD
VT
05
OVN0838
VT
Enumeration date
11/17/2005
Last updated
07/08/2007
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