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NPI Code Detail

MEDICARE: ROSETTA GENOMICS, INC

MEDICARE: ROSETTA GENOMICS, INC
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1760915458
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSETTA GENOMICS, INC
Provider Business Mailing Address
First Line : 3711 MARKET ST STE 740
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5535
Country : US
Telephone Number : 949-587-7516
Fax Number :
Provider Business Practice Location Address
First Line : 3711 MARKET ST STE 740
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-5535
Country : US
Telephone Number : 949-587-7516
Fax Number :
Authorized Official
Title or Position : BILLING ADMINSTRATOR
Name : BRENDA HALL
Credential :
Telephone Number : 215-382-9002
Provider Enumeration Date : 04/10/2017
Last Update Date : 04/10/2017

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