Organization
FOX CHASE PAIN MANAGEMENT ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MARK ROSEN M.D. (PRESIDENT)
(267) 288-5601
Entity
Organization
Contact information
Practice address
4979 OLD STREET RD, SUITE B, TREVOSE, PA 19053-6222
(267) 288-5601
(267) 288-5905
Mailing address
4979 OLD STREET RD, SUITE B, TREVOSE, PA 19053-6222
(267) 288-5601
(267) 288-5905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD008053E
PA
174400000X
Specialist
MD034707E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000755415
BC/BS GROUP
PA
01
—
0698266000
AMERIHEALTH GROUP
PA
01
—
5561325
USHC GROUP
PA
Enumeration date
05/23/2006
Last updated
02/04/2016
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