Individual
DR. EDWARD ROSENBAUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8302 YORK RD, STE 2, ELKINS PARK, PA 19027
(215) 572-6292
(215) 572-6292
Mailing address
PO BOX 3188, MAPLE GLEN, PA 19002-8188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS001409L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049190000
BLUESHIELD PERSONACHOICE
PA
01
—
0140014101
AMERICHOICE
PA
05
—
1400141
—
PA
01
—
J29666
INTERCOUNTY
PA
Enumeration date
01/24/2006
Last updated
07/08/2007
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