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Individual

DR. WAYNE LAWRENCE ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-5154
Mailing address
239 MAIN ST, SUITE 400, JOHNSTOWN, PA 15901-1640
(814) 539-5987
(814) 535-4176

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01053854A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
DO210012511
DC
2085R0202X
Diagnostic Radiology Physician
OS015365
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102550496
PA
01
2564098
HIGHMARK BC BS
PA
Enumeration date
11/29/2005
Last updated
05/07/2025
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