Individual
DR. ROSE M MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5422
Mailing address
THE SOMERSET NETWORK, P.O. BOX 70, WESTFIELD, NJ 07091
(908) 317-6807
(908) 317-6896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012015751
MO
207P00000X
Emergency Medicine Physician
Primary
MB69803
NJ
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
61-19569
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8565007
—
NJ
Enumeration date
12/04/2006
Last updated
02/27/2024
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