Individual
LISA S ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 KING OF PRUSSIA RD, RADNOR, PA 19087
(610) 902-2000
Mailing address
250 KING OF PRUSSIA RD, RADNOR, PA 19087
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD035433E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011354810001
—
PA
Enumeration date
06/07/2006
Last updated
10/26/2012
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