Individual
MR. CHARLES EDWARD ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
14 GRANITE ST, TAUNTON, MA 02780-3009
(508) 880-0911
Mailing address
PO BOX 98, EAST TAUNTON, MA 02718-0098
(508) 880-0911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205742
MA
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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