Individual provider · Type 1 NPI

Phillip D. Rose, PA-C

Physician Assistant · Teaneck, NJ

NPI number 1205021060 Active

Practice location

222 Cedar Lane, Suite 120
Teaneck, NJ 07666

Call (201) 836-5332 Map

Fax (201) 836-4002

Mailing address

492C Cedar Ln, Suite 120
Teaneck, NJ 07666-1713

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00182600 (NJ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1205021060

Phillip D. Rose, PA-C's National Provider Identifier is 1205021060, issued on Sep 13, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Teaneck, NJ. The record was last updated on Mar 2, 2016.