Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | D0011985 | MD |
NPI | 1295789311 |
---|---|
Provider Name | Norman B Rosen |
First Address | Baltimore, MD 21286-3330 |
Second Address | Baltimore, MD 21286-3330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 07/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D77632 | (02) | MD |