Organization
COLON & RECTAL SURGEONS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN E ROSENBERG M.D. (PRESIDENT)
(215) 673-0343
Entity
Organization
Contact information
Practice address
7936 BUSTLETON AVE, PHILADELPHIA, PA 19152-3321
(215) 673-0343
(215) 464-6522
Mailing address
7936 BUSTLETON AVE, PHILADELPHIA, PA 19152-3321
(215) 673-0343
(215) 464-6522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD021216E
PA
208C00000X
Colon & Rectal Surgery Physician
Primary
MD021216E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3825589000
IBC
PA
Enumeration date
02/24/2011
Last updated
01/21/2015
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