Individual
ABIGAIL L ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 WITHERSPOON ST, PRINCETON, NJ 08542-3401
(609) 303-4600
(609) 303-4601
Mailing address
4056 QUAKERBRIDGE RD STE 101, LAWRENCEVILLE, NJ 08648-4779
(609) 528-9150
(609) 528-9151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
227249
MA
207Q00000X
Family Medicine Physician
Primary
25MA08287200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141381
—
NJ
Enumeration date
05/03/2006
Last updated
04/23/2021
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