Healthcare Provider Details

I. General information

NPI: 1821193277
Provider Name (Legal Business Name): NOAH A ROSEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 PRUDENTIAL RD
HORSHAM PA
19044-2308
US

IV. Provider business mailing address

507 PRUDENTIAL RD
HORSHAM PA
19044-2308
US

V. Phone/Fax

Practice location:
  • Phone: 215-517-1000
  • Fax: 215-517-1049
Mailing address:
  • Phone: 215-517-1000
  • Fax: 215-517-1049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD493565
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: