Individual
DR. BENJAMIN TYLER ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
212 W SHARON RD, CINCINNATI, OH 45246-4137
(513) 771-7213
(513) 771-4356
Mailing address
212 W SHARON RD, CINCINNATI, OH 45246-4137
(513) 771-7213
(513) 771-4356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.012630
OH
208M00000X
Hospitalist Physician
34.012630
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146582
—
OH
05
—
0280722
—
OH
Enumeration date
05/20/2015
Last updated
01/10/2025
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