Individual
DR. MATTHEW MARC ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WALNUT STREET, MOB, 5TH FLOOR, PHILADELPHIA, PA 19107-5563
(215) 955-6750
(215) 923-8222
Mailing address
1100 WALNUT STREET, MOB, 5TH FLOOR, PHILADELPHIA, PA 19107-5563
(215) 955-6750
(215) 923-8222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD434539
PA
208600000X
Surgery Physician
MT186210
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102742172 0001
—
PA
05
—
102742172 0002
—
PA
Enumeration date
05/28/2008
Last updated
04/21/2017
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