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NPI Code Detail

MEDICARE: JASON ROSENWALD PA

MEDICARE:   JASON  ROSENWALD  PA
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
1363AS0400XSurgical Physician Assistant0110-004299VA
2363AS0400XSurgical Physician AssistantMA065552PA

General Provider Information

NPI Number : 1720428865
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON ROSENWALD PA
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 25 MONUMENT RD STE 145
Second Line :
City : YORK
State : PA
Zip : 17403-5060
Country : US
Telephone Number : 717-851-6454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2013
Last Update Date : 03/12/2026

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Directions to “ JASON ROSENWALD PA” Practice Location

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