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NPI Code Detail

MEDICARE: ALLEN ROSEN, M.D.

MEDICARE: ALLEN ROSEN, M.D.
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
1207RP1001XPulmonary Disease PhysicianME0032989FL

Other Identifiers

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

General Provider Information

NPI Number : 1164814828
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEN ROSEN, M.D.
Provider Business Mailing Address
First Line : 17 SHELDRAKE LN
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33418-6831
Country : US
Telephone Number : 561-659-1000
Fax Number : 561-659-1009
Provider Business Practice Location Address
First Line : 5555 W BLUE HERON BLVD
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33418-7813
Country : US
Telephone Number : 561-659-1000
Fax Number : 561-659-1009
Authorized Official
Title or Position : SOLE PRACTITIONER
Name : DR. ALLEN ROSEN
Credential : M.D.
Telephone Number : 561-659-1000
Provider Enumeration Date : 03/04/2015
Last Update Date : 03/04/2015

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