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Organization

RON ROSEN, M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RON SHALOM ROSEN M.D. (CEO)
(408) 515-4483
Entity
Organization

Contact information

Practice address
2211 MOORPARK AVE, SUITE 220, SAN JOSE, CA 95128-2654
(408) 515-4483
Mailing address
2211 MOORPARK AVE, SUITE 220, SAN JOSE, CA 95128-2654
(408) 515-4483

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
A96556
CA

Other

Enumeration date
04/26/2010
Last updated
07/29/2010
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