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NPI Code Detail

MEDICARE: ERIC S ROSEN DO

MEDICARE:   ERIC S ROSEN  DO
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
1207RI0011XInterventional Cardiology PhysicianOS10680FL
2207RC0000XCardiovascular Disease PhysicianOS10680FL
3207RC0000XCardiovascular Disease Physician253163NY
4207RC0000XCardiovascular Disease Physician25MB09076500NJ

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 : 1437390382
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC S ROSEN DO
Provider Business Mailing Address
First Line : 8362 PINES BLVD # 296
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-6600
Country : US
Telephone Number : 954-985-4066
Fax Number : 954-893-6818
Provider Business Practice Location Address
First Line : 3702 WASHINGTON ST
Second Line : SUITE 303
City : HOLLYWOOD
State : FL
Zip : 33021-8287
Country : US
Telephone Number : 954-967-6550
Fax Number : 954-967-6553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2009
Last Update Date : 01/25/2024

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Directions to “ ERIC S ROSEN DO” Practice Location

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