Individual
PHILIP D RODENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
283 S BUTLER RD, LEBANON, PA 17042-8939
(717) 273-8871
(717) 270-2429
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD012872E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207113
—
WA
05
—
102871975
—
PA
01
—
12622664
CAQH ID
—
01
—
MD012872E
STATE LICENSE - MD
PA
Enumeration date
10/23/2006
Last updated
03/07/2023
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