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NPI Code Detail

MEDICARE: DR. SETH I ROSEN MD

MEDICARE: DR. SETH I ROSEN MD
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
1207R00000XInternal Medicine PhysicianMD038962DC
2207R00000XInternal Medicine PhysicianD0071774MD
3207R00000XInternal Medicine Physician269660NY

General Provider Information

NPI Number : 1508020587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SETH I ROSEN MD
Provider Business Mailing Address
First Line : 3198 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10458-1000
Country : US
Telephone Number : 718-618-0401
Fax Number : 718-795-4394
Provider Business Practice Location Address
First Line : 2025 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10023-5016
Country : US
Telephone Number : 212-390-8812
Fax Number : 212-390-8814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2008
Last Update Date : 04/10/2019

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