IndividualActive
Edward Rose, MD
NPI 1366458952 · Pediatric Gastroenterology Physician · Albuquerque, NM
Provider details
- NPI number
- 1366458952
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 84-107 (NM)
Practice location
1127 University Blvd Se
Albuquerque, NM 87102
Phone: (505) 272-5200
Fax: (505) 272-5750
Mailing address
933 Bradbury Dr Se
Albuquerque, NM 87106-4374
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2012-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.