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Individual

DR. MARK WIILIAM ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
67 UNION ST, SUITE 304, NATICK, MA 01760-7700
(508) 653-7311
(508) 653-0549
Mailing address
313 SPEEN ST, NATICK, MA 01760-1538
(508) 653-7311
(508) 653-0549

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1800
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001800
TUFTS MEDICARE PREFERRED
MA
05
0361739
MA
01
33122
HARVARD PILGRIM HEALTH CA
MA
01
3818
FALLON
MA
01
Y70826
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/05/2006
Last updated
04/18/2018
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