Organization
EVAN G ROSEN M D P A
Active
Other names
Lighthouse Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN G ROSEN MD (PRESIDENT/OWNER)
(561) 743-5580
Entity
Organization
Contact information
Practice address
2141 S ALTERNATE A1A, SUITE 420, JUPITER, FL 33477-4072
(561) 743-5580
(561) 743-5595
Mailing address
2141 S ALTERNATE A1A, SUITE 420, JUPITER, FL 33477-4072
(561) 743-5580
(561) 743-5595
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/06/2009
Last updated
07/09/2009
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