Individual
DR. EDWARD ROSENBAUM
Active
Sole proprietor
No
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
07/13/2026
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