Whalio Doctors

NPI 1033281530

Walter Rose, MD

Practitioner Diagnostic Radiology Physician Long Branch, NJ

Practice location

Address
279 3rd Ave Suite 403, Long Branch, NJ 07740-6205
Phone
(732) 222-7676
Fax
(732) 229-1863
Mailing address
14 Hickory Ln, Little Silver, NJ 07739-1247

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 25MA02694500 (NJ)

Registry record

NPI
1033281530
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Nov 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.