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Contact Information

ROSE M MACK, DO
225 WILLIAMSON ST
ELIZABETH, NJ07202-3625
 Phone: 908-994-5422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ROSE M MACK · (Female)

NPI Number 1831267152
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/04/2006
Last updated 02/27/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2012015751
  • NJ License # 61-19569
  • NJ License # MB69803
  • NJ Medicaid 8565007
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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