Organization
ROSEWOOD MEDICAL CONSULTING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALLEN WEAVER DO (PHYSICIAN)
(610) 678-6546
Entity
Organization
Contact information
Practice address
2211 QUARRY DR, E-61, WEST LAWN, PA 19609-1161
(610) 678-6546
Mailing address
2211 QUARRY DR, E-61, WEST LAWN, PA 19609-1161
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD053869L
PA
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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