Provider Demographics
NPI:1548258171
Name:ROS, EMIL J (MD)
Entity type:Individual
Prefix:MR
First Name:EMIL
Middle Name:J
Last Name:ROS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2000 CLIFF MINE RD
Mailing Address - Street 2:PARK WEST TWO SUITE 110
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275-1008
Mailing Address - Country:US
Mailing Address - Phone:412-494-4550
Mailing Address - Fax:412-494-4551
Practice Address - Street 1:2000 CLIFF MINE RD
Practice Address - Street 2:PARK WEST TWO SUITE 110
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1008
Practice Address - Country:US
Practice Address - Phone:412-494-4550
Practice Address - Fax:412-494-4551
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2011-06-16
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Provider Licenses
StateLicense IDTaxonomies
PAMD040052L207RP1001X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
4286763OtherAETNA PROVIDER #
PA1018738120002Medicaid
P00761985OtherMEDICARE RR INDIVIDUAL PTAN
PA1327022OtherKEYSTONE HEALTH PLANS
6252441OtherCIGNA PROVIDER ID#
989300OtherHEALTH AMERICA/HEALTH ASSURANCE
P00761985OtherMEDICARE RR INDIVIDUAL PTAN