Individual
DR. MARC R. ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 CHESTNUT ST, 6TH FLOOR, PHILADELPHIA, PA 19107-4216
(215) 955-6760
(215) 923-4532
Mailing address
925 CHESTNUT ST, 6TH FLOOR, PHILADELPHIA, PA 19107-4216
(215) 955-6760
(215) 923-4532
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD-031816-E
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD-031816-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001136522
—
PA
05
—
7491409
—
NJ
Enumeration date
07/19/2006
Last updated
05/05/2014
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