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NPI Code Detail

MEDICARE: EMILY TUBBS ROSEN MD

MEDICARE: EMILY TUBBS 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
12084P0800XPsychiatry PhysicianMD210002861DC
22084P0800XPsychiatry PhysicianD0104316MD
32084P0800XPsychiatry Physician0101278808VA

General Provider Information

NPI Number : 1679154744
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY TUBBS ROSEN MD
Provider Business Mailing Address
First Line : 1737 KING ST STE 330
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2760
Country : US
Telephone Number : 202-240-7883
Fax Number : 949-203-2462
Provider Business Practice Location Address
First Line : 1737 KING ST STE 330
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2760
Country : US
Telephone Number : 202-240-7883
Fax Number : 949-203-2462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2021
Last Update Date : 04/20/2026

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