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NPI Code Detail

MEDICARE: DR. JAMIE SCOTT ROSEN DDS

MEDICARE:  DR. JAMIE SCOTT ROSEN  DDS
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
1122300000XDentist035221NY

General Provider Information

NPI Number : 1902887391
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE SCOTT ROSEN DDS
Provider Business Mailing Address
First Line : 4401 AVENUE D
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-5725
Country : US
Telephone Number : 718-451-1888
Fax Number : 718-451-1920
Provider Business Practice Location Address
First Line : 4401 AVENUE D
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-5725
Country : US
Telephone Number : 718-451-1888
Fax Number : 718-451-1920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2005
Last Update Date : 05/10/2013

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Directions to “ DR. JAMIE SCOTT ROSEN DDS” Practice Location

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