Individual
CAROL L ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
35-076470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183439
ANTHEM
OH
01
—
000000221341
UNISON
OH
05
—
0018994690001
—
PA
01
—
2119808
BCMH
OH
05
—
2119808
—
OH
01
—
363967
WELLCARE
OH
01
—
4138777
AETNA
OH
01
—
743075
BUCKEYE
OH
Enumeration date
07/24/2006
Last updated
07/06/2011
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