Individual
DR. JEFFREY M ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1601 WALNUT ST STE 201, PHILADELPHIA, PA 19102
(215) 592-4747
Mailing address
1601 WALNUT ST STE 201, PHILADELPHIA, PA 19102-2902
(215) 592-4747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS022998L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001649582
—
PA
Enumeration date
04/09/2007
Last updated
06/01/2018
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