| | Physician Last Name: | Raport |
| | Physician First Name: | Rose |
| | Physician Middle Name: | |
| | Address: | 835 Wyoming Street
Elizabeth, New Jersey 07208 |
| | License Number: | 135526 |
| | License Type: | MD |
| | Year of Birth: |
1936
|
| | Effective Date: | 04/20/2007 |
| | Action Description for DOH Webpage: | The physician has agreed to never activate his registration or reapply for a license to practice medicine in New York State. |
| | Misconduct Description for DOH Webpage: | This order is a modification of the terms of order BPMC#06-19 effective February 7, 2006 and does not constitute a new disciplinary action.. Previously the physician had not contested the charge of having been disciplined by the New Jersey State Board of Medical Examiners for allowing an unlicensed medical assistant to administer physical therapy modalities to a patient. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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