| Rose Internal Medicine Llc | |
|
2753 Observatory Ave Cincinnati OH 45208-2231 | |
| (513) 871-7673 | |
| (855) 871-7673 |
| Full Name | Rose Internal Medicine Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/29/2019 |
| Last Update Date | 01/29/2019 |
| Medicare PECOS PAC ID | 1456786946 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801824578 PECOS PAC ID: 6608870340 Enrollment ID: I20060911000590 |
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