Individual
STEPHANIE LOVELL-ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1160 AMADOR AVE, BERKELEY, CA 94707-2602
(631) 987-9603
(510) 868-8018
Mailing address
1160 AMADOR AVE, BERKELEY, CA 94707-2602
(631) 987-9603
(631) 868-8018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
228857
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
C53689
CA
Other
Enumeration date
07/27/2006
Last updated
12/13/2021
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