Individual
JOSEPH MARK ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, LEBANON, NH 03756
(603) 650-5148
(603) 650-8456
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5148
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
8476
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003734
—
VT
05
—
80001995
—
NH
Enumeration date
08/27/2006
Last updated
07/15/2011
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