Individual
JESSICA ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 DENNIS AVE, SILVER SPRING, MD 20902-4136
(240) 777-3999
(240) 777-4263
Mailing address
2000 DENNIS AVE, SILVER SPRING, MD 20902-4136
(240) 777-3999
(240) 777-4263
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
035689
DC
207RI0200X
Infectious Disease Physician
Primary
D0076310
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00678661
MEDICARE RAILROAD
DC
Enumeration date
07/06/2006
Last updated
07/14/2017
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