Organization
GEORGE OD ROSENWASSER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EUNICE JOAN WILKINSON (PRACTICE MANAGER)
(770) 577-4444
Entity
Organization
Contact information
Practice address
825 FISHBURN RD, HERSHEY, PA 17033-2015
(717) 533-5200
(717) 533-2606
Mailing address
825 FISHBURN RD, HERSHEY, PA 17033-2015
(717) 533-5200
(717) 533-2606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018400040001
—
PA
Enumeration date
05/26/2006
Last updated
01/23/2012
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