Provider Demographics
NPI:1699919134
Name:ROSENE, HAROLD A
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:A
Last Name:ROSENE
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:HAROLD
Other - Middle Name:A
Other - Last Name:ROSENE
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 499
Mailing Address - Street 2:
Mailing Address - City:NEW HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04554-0499
Mailing Address - Country:US
Mailing Address - Phone:207-677-3138
Mailing Address - Fax:207-677-6484
Practice Address - Street 1:499 HARRINGTON RD.
Practice Address - Street 2:
Practice Address - City:PEMAQUID
Practice Address - State:ME
Practice Address - Zip Code:04558
Practice Address - Country:US
Practice Address - Phone:207-677-3138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME005290207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery