Organization
BRAD ROSEN, DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DEAN ROSEN D.O. (PHYSICIAN)
(301) 515-6000
Entity
Organization
Contact information
Practice address
3 EXECUTIVE PARK CT, GERMANTOWN, MD 20874-2643
(301) 515-6000
(301) 515-6039
Mailing address
3 EXECUTIVE PARK CT, GERMANTOWN, MD 20874-2643
(301) 515-6000
(301) 515-6039
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H47195
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801894985
PERSONAL NPI
MD
Enumeration date
05/11/2011
Last updated
05/11/2011
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