Individual
DOUGLAS IRA ROSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3620 E TREMONT AVE, 2ND FLOOR, BRONX, NY 10465-2022
(718) 792-4700
(718) 828-1898
Mailing address
PO BOX 682, BRONX, NY 10465-0620
(718) 792-4700
(718) 828-1898
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
146634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00806235
—
NY
Enumeration date
08/24/2005
Last updated
07/08/2007
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