Individual
BRUCE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 AIKEN AVE, FRANKLIN, NH 03235-1259
(603) 934-2060
Mailing address
PO BOX 678, LACONIA, NH 03247-0678
(603) 934-2060
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6090
NH
207R00000X
Internal Medicine Physician
6090
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106959Y0NH01
ANTHEM
NH
05
—
81116959
—
NH
Enumeration date
02/13/2006
Last updated
03/25/2010
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