Individual
DONALD ROBERT ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 MEMBERS WAY STE 203, DOVER, NH 03820
(603) 742-3174
(603) 742-1855
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-3174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11718
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP04089NH01
ANTHEM BLUE CROSS BLUE SH
NH
05
—
3080014
—
NH
Enumeration date
01/19/2006
Last updated
04/11/2019
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