Individual
DR. JOSE DOMINGO ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
95 GRASSLANDS RD, DEPT OF MEDICINE-MUNGER PAVILION, VALHALLA, NY 10595-1646
(914) 493-8370
(914) 594-4434
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
239121
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
049160
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
239121
NY
Other
Enumeration date
06/09/2006
Last updated
12/03/2019
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