Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 205885 | NY |
N | 208600000X | Surgeon | 205885 | NY |
N | 2086S0120X | Pediatric Surgery | 205885 | NY |
Y | 2086S0120X | Pediatric Surgery | 35.134438 | OH |
NPI | 1346229028 |
---|---|
Provider Name | Dr. Nelson Garrett Rosen |
First Address | Cincinnati, OH 45229-3026 |
Second Address | Cincinnati, OH 45229-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 11/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02495921 | (05) | NY |
G75089 | (02) | NY |