Individual
LAURA MERCER ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-4040
(267) 426-9800
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD430818
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD430818
PA LICENSE
PA
Enumeration date
06/24/2009
Last updated
04/16/2013
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