Individual
DR. RANDY ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3040
(215) 707-8235
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD016929E
PA
2084N0400X
Neurology Physician
Primary
MD016929E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01108143
—
PA
Enumeration date
06/01/2006
Last updated
02/05/2015
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