| Michael J. Rosner, M.d., P.c. | |
|
4242 Cottman Ave Philadelphia PA 19135-1199 | |
| (215) 624-3636 | |
| (215) 624-9568 |
| Full Name | Michael J. Rosner, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4242 Cottman Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Michael J Rosner (PRESIDENT) |
| Authorized Official Contact | 2156243636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Rosner, M.d., P.c. 4242 Cottman Ave Philadelphia PA 19135-1199 Ph: (215) 624-3636 | Michael J. Rosner, M.d., P.c. 4242 Cottman Ave Philadelphia PA 19135-1199 Ph: (215) 624-3636 |
| NPI Number | 1114087699 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 07/21/2010 |
| Medicare PECOS PAC ID | 3577748847 |
|---|---|
| Medicare Enrollment ID | O20110502000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114087699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michael Jeffrey Rosner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366476020 PECOS PAC ID: 4486839750 Enrollment ID: I20110502000143 |
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