Individual
DR. BRUCE T. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 EXECUTIVE DR, PRINCETON, NJ 08540-1530
(606) 303-4600
(609) 303-4601
Mailing address
811 EXECUTIVE DR, PRINCETON, NJ 08540-1530
(609) 303-4600
(609) 303-4601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08162800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5841909
—
VA
Enumeration date
06/28/2006
Last updated
04/26/2021
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