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Individual

MARTIN H ROSEFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1037
(812) 242-3170
(812) 235-3330
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3170
(812) 235-3330

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01028433A
IN
207Y00000X
Otolaryngology Physician
36096884
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000089592
ANTHEM
01
0182810
US DEPT OF LABOR
05
100250480
IN
01
791041139
RAILROAD MCARE PALAMETTO
01
P00844259
RAILROAD MEDICARE
IN
Enumeration date
08/31/2006
Last updated
03/14/2013
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