Individual
YITZHAK JOEL ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1640 CALLE MEDICO STE E, SANTA FE, NM 87505-4829
(505) 386-1383
(505) 393-3883
Mailing address
1640 CALLE MEDICO STE E, SANTA FE, NM 87505-4829
(505) 386-1380
(505) 393-3883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2003-0626
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060012
—
AZ
05
—
93131224
—
NM
Enumeration date
01/16/2007
Last updated
05/13/2025
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