Individual
QUENTIN ROSE
Active
Individual
QUENTIN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0420011032
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011976
—
VT
01
—
P00256952
RAILROAD MEDICARE
VT
Enumeration date
06/07/2006
Last updated
05/02/2011
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