Individual
ELYSE SARAH ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1991 SPROUL RD STE 625, BROOMALL, PA 19008-3524
(610) 325-0309
(610) 325-0459
Mailing address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS018627
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
04/22/2014
Last updated
03/17/2018
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