Individual
DR. ROSEMARY VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4190 CITY AVE, SUITE 540, PHILADELPHIA, PA 19131-1626
(215) 871-1800
(215) 871-1807
Mailing address
4190 CITY AVE, SUITE 540, PHILADELPHIA, PA 19131-1626
(215) 871-1800
(215) 871-1807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0S005355L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010511760003
—
PA
Enumeration date
07/18/2006
Last updated
07/08/2007
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