Individual
JASON NATHANIEL ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3000
(215) 829-7564
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3000
(215) 829-7564
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD458341
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD458341
PA
Other
Enumeration date
07/25/2011
Last updated
12/20/2021
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