Individual
DR. GLENN D ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 W CHELTEN AVE, PHILADELPHIA, PA 19144-4414
(215) 848-6700
(215) 843-0770
Mailing address
515 W CHELTEN AVE, PHILADELPHIA, PA 19144-4414
(215) 848-6700
(215) 843-0770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD417389
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019446800001
—
PA
Enumeration date
01/31/2007
Last updated
07/08/2007
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