Individual
DR. VIVIENNE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29 SOUTH PACA STREET, BALTIMORE, MD 21201
(410) 328-8792
(410) 328-8726
Mailing address
29 SOUTH PACA STREET, BALTIMORE, MD 21201
(410) 328-8792
(410) 328-8726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D46757
MD
Other
Enumeration date
08/04/2006
Last updated
04/09/2012
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