Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | C0-000595 | MD |
NPI | 1003989872 |
---|---|
Provider Name | Ms. Jane C Rosen |
First Address | Owings Mills, MD 21117-5089 |
Second Address | Catonsville, MD 21228-6280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 18/10/2010 |