Individual
JONATHAN DANIEL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2324 W JOPPA RD STE 100, LUTHERVILLE, MD 21093-4617
(443) 583-5444
(443) 583-5385
Mailing address
10845 PHILADELPHIA RD, WHITE MARSH, MD 21162-1717
(410) 335-0008
(410) 335-1133
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01344
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510006200
—
MD
01
—
E602
NATIONAL CAP BLUE
MD
01
—
H792
BLUE CROSS
MD
Enumeration date
11/08/2006
Last updated
12/01/2023
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