Individual
ANDREW R. ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 BUTTRICK RD, LONDONDERRY, NH 03053-3381
(603) 552-1400
(603) 552-1499
Mailing address
40 BUTTRICK RD, LONDONDERRY, NH 03053-3381
(603) 552-1400
(603) 552-1499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11036
NH
208000000X
Pediatrics Physician
11036
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011036
TUFTS PIN
NH
01
—
01YP02564NH01
ANTHEM ACES PIN
NH
01
—
0442517
UHC PIN
NH
01
—
2431036
AETNA PIN
NH
05
—
30200904
—
NH
01
—
532720
CIGNA PIN
NH
01
—
990015343
RR MEDICARE PIN
NH
01
—
H28507
ANTHEM REFERRING UPIN
NH
01
—
N1930
HPHC PIN
NH
Enumeration date
11/08/2005
Last updated
07/12/2007
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