Rosen, Roger Craig

Rosen, Roger Craig is an individual health care provider with primary practice located at 100 Camp St , Hyannis MA 02601-3063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Rosen, Roger Craig can be contacted via phone (508) 775-1984.

Contact Information

Primary practice address
100 Camp St Hyannis MA 02601-3063
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 53027 Massachusetts

Profile Details

NPI number 1336179191
LBN Legal business name Rosen, Roger Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 17th, 2023 - about 3 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 1336179191 NPPES
Massachusetts Other 230000567 RR MEDICARE
Massachusetts Other 29059 RR MEDICARE
Massachusetts Other 722914 RR MEDICARE
Massachusetts Other 17-01032 RR MEDICARE
Massachusetts MEDICAID 6177735 RR MEDICARE
Massachusetts Other J03236 RR MEDICARE

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