Rose, Christian M

Rose, Christian M is an individual health care provider with primary practice located at 11 Melnea Cass Blvd , Boston MA 02119-4401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Rose, Christian M can be contacted via phone (617) 414-2080.

Contact Information

Primary practice address
11 Melnea Cass Blvd Boston MA 02119-4401
Phone: (617) 414-2080
Fax: (617) 414-2090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 282318 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 282318 Massachusetts

Profile Details

NPI number 1194266395
LBN Legal business name Rose, Christian M
Credentials MD, CAQSM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2017
Last updated Jun 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194266395 NPPES
Massachusetts MEDICAID 110126963A
Massachusetts MEDICAID 3133401

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