Rose Internal Medicine Llc | |
2753 Observatory Ave Cincinnati OH 45208-2231 | |
(513) 871-7673 | |
(855) 871-7673 |
Full Name | Rose Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 2753 Observatory Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Geoffrey A Rose (OWNER) |
Authorized Official Contact | 5138717673 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rose Internal Medicine Llc 2753 Observatory Ave Cincinnati OH 45208-2231 Ph: (513) 871-7673 | Rose Internal Medicine Llc 2753 Observatory Ave Cincinnati OH 45208-2231 Ph: (513) 871-7673 |
NPI Number | 1881158343 |
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Provider Enumeration Date | 01/29/2019 |
Last Update Date | 01/29/2019 |
Medicare PECOS PAC ID | 1456786946 |
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Medicare Enrollment ID | O20200109002232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881158343 | NPI | - | NPPES |
2428162 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Geoffrey Andrew Rose |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801824578 PECOS PAC ID: 6608870340 Enrollment ID: I20060911000590 |
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