Individual
MS. LESLIE DANA-ROSE ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1718 WELSH RD, SUITE A, PHILADELPHIA, PA 19115-4213
(215) 673-1700
Mailing address
1718 WELSH RD, SUITE A, PHILADELPHIA, PA 19115-4213
(215) 673-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA058180
PA
363AM0700X
Medical Physician Assistant
Primary
MA058180
PA
Other
Enumeration date
04/04/2011
Last updated
09/19/2023
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