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Organization
MARK J. ROSEN, R.P.T., P.C.
Active
Organization
MARK J. ROSEN, R.P.T., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK J 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2218555000
PERSONAL CHOICE/KEYSTONE
PA
Enumeration date
05/31/2006
Last updated
02/20/2008
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