Jeremy Rose

NPI #1750751467 in Auburn, New York

Provider Information

NPI Number: 1750751467
Entity Type: Individual
Name: Jeremy Rose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 7, 2015
Last Updated: Oct 14, 2015

Practice Location

Address: 77 NELSON ST
Address 2: SUITE 120
City: Auburn
State: New York
ZIP Code: 13021-1944
Phone: (315) 252-7559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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