Mack, Rose M

Mack, Rose M is an individual health care provider with primary practice located at 225 Williamson St , Elizabeth NJ 07202-3625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mack, Rose M can be contacted via phone (908) 994-5422.

Contact Information

Primary practice address
225 Williamson St Elizabeth NJ 07202-3625
Phone: (908) 994-5422
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2012015751 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MB69803 New Jersey

Profile Details

NPI number 1831267152
LBN Legal business name Mack, Rose M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Feb 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831267152 NPPES
New Jersey MEDICAID 8565007

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