Timothy Rose in Scranton - Medical

Timothy Rose - NPI 1174518138

Timothy Rose is a Medical in Scranton, Pennsylvania. Timothy Rose practices all healthcare services and medical treatments related to Medical. The NPI Number for Timothy Rose is 1174518138. The last update date is 2016-11-08.

Timothy Rose's current location address is 5 Morgan Hwy, Scranton, Pennsylvania. You can contact this provider via phone number 5703443788 and fax number 5709699280. The mailing address for Timothy Rose is 5 Morgan Hwy, Scranton, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Rose
Address 5 Morgan Hwy, Scranton, Pennsylvania
Phone Number 5703443788
Fax Number 5709699280
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1174518138
Provider Enumeration Date 2005-09-15
Last Updated Date 2016-11-08

Provider Mailing Address Detail

Address 5 Morgan Hwy
City Scranton
State Pennsylvania (PA)
Post Code 185082641
Phone Number 5703443788
Fax Number 5709699280

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No MA-002994-L
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
103194279-0001 PA --
73695 PA BLUE CARE
50076567 PA CAPITAL BLUE CROSS
P00059096 PA RAILROAD MEDICARE

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FAQs about Timothy Rose

What is the Timothy Rose's unique identification number?

The Timothy Rose has been assigned the NPI (National Provider Identifier) Number 1174518138 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Timothy Rose is located?

The Timothy Rose is situated at the following address: 5 Morgan Hwy, Scranton, PA, 185082641.

What is the Timothy Rose's area of specialization and corresponding taxonomy classification?

The Timothy Rose's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

When was the Timothy Rose's 1174518138 issued?

The Timothy Rose's 1174518138 was issued on 2005-09-15.

When was the information pertaining to Timothy Rose most recently updated or revised?

The details related to Timothy Rose, including its address, specialty, and other relevant information, were last updated or revised on 2016-11-08.

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