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Organization
SOMERTON INDUSTRIAL MEDICINE & REHABILITATION, INC
Active
Organization
SOMERTON INDUSTRIAL MEDICINE & REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK JOEL ROSEN P.T. (OWNER)
(215) 677-8870
Entity
Organization
Contact information
Practice address
12000 BUSTLETON AVE, SUITE 100, PHILADELPHIA, PA 19116-2151
(215) 677-8870
(215) 673-9825
Mailing address
12000 BUSTLETON AVE, SUITE 100, PHILADELPHIA, PA 19116-2151
(215) 677-8870
(215) 673-9825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002807L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0005291342
AETNA
PA
Enumeration date
11/04/2011
Last updated
11/04/2011
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