| Michael T Rosen Dds Pa | |
|
2601 Annand Dr Suite 2 Wilmington DE 19808-3719 | |
| (302) 994-0979 | |
| Not Available |
| Full Name | Michael T Rosen Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 2601 Annand Dr, Wilmington, Delaware |
| Authorized Official Name and Position | Michael Todd Rosen (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3029940979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Rosen Dds Pa 2601 Annand Dr Suite 2 Wilmington DE 19808-3719 Ph: (302) 994-0979 | Michael T Rosen Dds Pa 2601 Annand Dr Suite 2 Wilmington DE 19808-3719 Ph: (302) 994-0979 |
| NPI Number | 1326306283 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Medicare PECOS PAC ID | 6800050337 |
|---|---|
| Medicare Enrollment ID | O20120614000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326306283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | G1-0000929 (Delaware) | Primary |
| Provider Name | Michael T Rosen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306900642 PECOS PAC ID: 3971760240 Enrollment ID: I20120618000553 |
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