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NPI Code Detail

MEDICARE: DR. MEREDITH B ROSE MD

MEDICARE:  DR. MEREDITH B ROSE  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
1207Q00000XFamily Medicine Physician0101031120VA

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 : 1548235849
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEREDITH B ROSE MD
Provider Business Mailing Address
First Line : 5320 PROVIDENCE RD
Second Line : STE 301
City : VIRGINIA BEACH
State : VA
Zip : 23464
Country : US
Telephone Number : 757-413-7600
Fax Number : 757-413-7601
Provider Business Practice Location Address
First Line : 5320 PROVIDENCE RD
Second Line : STE 301
City : VIRGINIA BEACH
State : VA
Zip : 23464
Country : US
Telephone Number : 757-413-7600
Fax Number : 757-413-7601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 12/07/2011

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Directions to “ DR. MEREDITH B ROSE MD” Practice Location

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