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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARTIN PHILLIP ROSE, PA

Active

MR. MARTIN PHILLIP ROSE, PA is a Medical Physician Assistant healthcare provider located in APG, Maryland. NPI 1184609034 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · APG, MD

Registration Details

NPI Number
1184609034
Provider Type
Individual
Gender
Male
NPI Issued
Dec 14, 2005 (20.485918059048 yrs)
Last Updated
Jul 8, 2007
License
1042882 (GA)

Practice Information

Address
2501 OAKINGTON ST
APG, MD, 210055131
Browse MD providers · Browse ZIP 21005
Phone
4102785356
Primary Specialty
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.