Provider Demographics
NPI:1033372545
Name:MUNROE, ROSE L (DO)
Entity Type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:L
Last Name:MUNROE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ROSE
Other - Middle Name:L
Other - Last Name:KANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:119 VIP DR STE 105
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7976
Mailing Address - Country:US
Mailing Address - Phone:724-935-2610
Mailing Address - Fax:724-935-0331
Practice Address - Street 1:701 BROAD ST STE 422
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1652
Practice Address - Country:US
Practice Address - Phone:412-741-8700
Practice Address - Fax:412-741-3710
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008016197208000000X
AZ005984208000000X
PAOS018898208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics