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Individual

MICHAEL S ROSENTHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
8410 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2012
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS006146L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04316100
INDEPENDENCE BLUE CROSS
PA
01
1196513
CIGNA
PA
01
250008704
UNITED HEALTHCARE
PA
01
608837
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/05/2006
Last updated
11/14/2025
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