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NPI Code Detail

MEDICARE: DR. MARC ELIOTT ROSEN D.O.

MEDICARE: DR. MARC ELIOTT ROSEN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianMB06786400NJ
2208600000XSurgery Physician2048TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174593271
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC ELIOTT ROSEN D.O.
Provider Business Mailing Address
First Line : 410 42ND AVE N STE 400
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-3658
Country : US
Telephone Number : 615-329-7887
Fax Number : 615-346-6225
Provider Business Practice Location Address
First Line : 410 42ND AVE N STE 400
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-3658
Country : US
Telephone Number : 615-329-7887
Fax Number : 615-346-6225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 10/13/2023

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