Individual
BRENDA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1999 W HUNTING PARK AVE, PHILA, PA 19140-2828
(215) 228-9300
Mailing address
432 N 6TH ST, PHILA, PA 19123-4004
(215) 925-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD042047
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01164035
—
PA
Enumeration date
06/07/2006
Last updated
12/06/2010
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