MEDICARE: DR. ROSINA M GENEROSE DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	SC004297L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	805570	OTHER	PA	FIRST PRIORITY HEALTH
2	50001413	OTHER	PA	CAPITAL BLUE CROSS
3	GE956208	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1437131539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSINA M GENEROSE DPM

Provider Business Mailing Address
First Line	:	2 EAST BUTLER DRIVE
Second Line	:	SUITE 1
City	:	DRUMS
State	:	PA
Zip	:	18222-2602
Country	:	US
Telephone Number	:	570-359-3515
Fax Number	:	570-459-5027

Provider Business Practice Location Address
First Line	:	2 EAST BUTLER DRIVE
Second Line	:	SUITE 1
City	:	DRUMS
State	:	PA
Zip	:	18222-2602
Country	:	US
Telephone Number	:	570-359-3515
Fax Number	:	570-459-5027

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	03/31/2016

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Directions to “ DR. ROSINA M GENEROSE DPM” Practice Location

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