person
Timothy Rose, PA-C
Medical Physician Assistant in Scranton, Pennsylvania
NPI 1174518138

Timothy Rose is a Medical Physician Assistant based in Scranton, PA and is specialized in Medical. Timothy Rose practices in Scranton, PA and has the professional credentials of PA-C. The NPI Number for Timothy Rose is 1174518138 and holds a License No. MA-002994-L (Pennsylvania).

The current practice location address for Timothy Rose is 5 Morgan Hwy, Scranton, PA and can be reached out via phone at 570-344-3788 and via fax at 570-969-9280. You can also correspond with Timothy Rose through the mailing address at 5 MORGAN HWY, SCRANTON, PA - 18508-2641 (mailing address contact number: 570-344-3788).

Location: 5 Morgan Hwy, Scranton, PA, 18508-2641
person
Provider Profile Details
NPI Number
1174518138
Provider Name
Timothy Rose
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5 Morgan Hwy, Scranton, PA, 18508-2641
Phone Number
570-344-3788
Fax Number
570-969-9280
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103194279-0001 05 PA
073695 01 PA BLUE CARE
50076567 01 PA CAPITAL BLUE CROSS
P00059096 01 PA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
5 Morgan Hwy
City
State
Zip
18508-2641
Phone Number
570-344-3788
Fax Number
570-969-9280
person
Provider Business Mailing Address Details
Address
5 Morgan Hwy
City
State
Zip
18508-2641
Phone Number
570-344-3788
Fax Number
570-969-9280
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA-002994-L (Pennsylvania)
Definition
Definition to come...
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