Individual
DR. KEITH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4149
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4149
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA10503100
NJ
207RP1001X
Pulmonary Disease Physician
227505
NY
Other
Enumeration date
07/21/2006
Last updated
04/17/2019
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