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NPI Code Detail

MEDICARE: DR. CHAD JOSHUA ROSEN M.D.

MEDICARE: DR. CHAD JOSHUA 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
1207LP3000XPediatric Anesthesiology Physician240674NC
2390200000XStudent in an Organized Health Care Education/Training Program
3207L00000XAnesthesiology Physician75500AZ
4207L00000XAnesthesiology Physician66983TN

General Provider Information

NPI Number : 1164865960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAD JOSHUA ROSEN M.D.
Provider Business Mailing Address
First Line : 1800 CAMDEN RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-4690
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2200 S HOUGHTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85748-7632
Country : US
Telephone Number : 520-543-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 11/19/2024

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