Provider Demographics
NPI:1124808241
Name:ROSE PEDIATRICS CARE
Entity type:Organization
Organization Name:ROSE PEDIATRICS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:AMAZU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-429-5866
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20703-0266
Mailing Address - Country:US
Mailing Address - Phone:301-429-5866
Mailing Address - Fax:301-429-8818
Practice Address - Street 1:9500 ANNAPOLIS RD STE B7
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2080
Practice Address - Country:US
Practice Address - Phone:301-429-5866
Practice Address - Fax:301-429-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty