Individual
DR. RAQUEL M ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3282
(607) 547-6989
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3282
(607) 547-6989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
176971
NY
207RN0300X
Nephrology Physician
Primary
176971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872348
—
NY
Enumeration date
04/24/2006
Last updated
01/21/2008
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