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Individual

DR. STEVEN MARK ROSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4979 OLD STREET RD, SUITE B, TREVOSE, PA 19053-6222
(267) 288-5601
(267) 288-5905
Mailing address
4979 OLD STREET RD, SUITE B, TREVOSE, PA 19053-6222
(267) 288-5601
(267) 288-5905

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD034707E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000755415
BLUE CROSS GROUP
PA
01
0160788000
KEYSTONE INDIVIDUAL
PA
01
0698266000
KEYSTONE GROUP
PA
01
232749589
HEALTHNET/TRICARE
PA
01
4239977
USHC INDIVIDUAL
PA
01
5561325
USHC GROUP
PA
01
9598079001
CIGNA
PA
01
P1778140
OXFORD
PA
Enumeration date
02/15/2006
Last updated
02/04/2016
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