Individual
AVERY ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
982 DERRING LN, BRYN MAWR, PA 19010-1749
(610) 525-1107
Mailing address
982 DERRING LN, BRYN MAWR, PA 19010-1749
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS006229L
PA
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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