Provider Demographics
NPI:1851770135
Name:ROSENE, JOHN (DPE)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:ROSENE
Suffix:
Gender:M
Credentials:DPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1442
Mailing Address - Street 2:
Mailing Address - City:CAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03223-1442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15 OVERLOOK RD
Practice Address - Street 2:UNIT 1
Practice Address - City:CAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03223-1442
Practice Address - Country:US
Practice Address - Phone:603-491-1707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist