Organization
DR. ALAN M. ROSENBERG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN MARC ROSENBERG O.D. (OWNER)
(215) 362-1177
Entity
Organization
Contact information
Practice address
26 AIRPORT SQ, NORTH WALES, PA 19454-1419
(215) 362-1177
(215) 362-7026
Mailing address
26 AIRPORT SQ, NORTH WALES, PA 19454-1419
(215) 362-1177
(215) 362-7026
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5554-T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048845000
IBC
PA
01
—
4358124
AETNA
PA
Enumeration date
05/23/2006
Last updated
08/22/2020
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