Individual
DR. MARK WIILIAM ROSE
Active
Individual
DR. MARK WIILIAM ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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