Individual provider · Type 1 NPI

Timothy Rose, PA-C

Medical Physician Assistant · Scranton, PA

NPI number 1174518138 Active

Practice location

5 Morgan Hwy, Suite 4
Scranton, PA 18508-2641

Call (570) 344-3788 Map

Fax (570) 969-9280

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA-002994-L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1174518138

Timothy Rose, PA-C's National Provider Identifier is 1174518138, issued on Sep 15, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Scranton, PA. The record was last updated on Nov 8, 2016.