Healthcare Provider Details

I. General information

NPI: 1114546868
Provider Name (Legal Business Name): EVAN CORY ROSENBERG MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 EASTON RD SUITE 2700
WARRINGTON PA
18976-2909
US

IV. Provider business mailing address

847 EASTON RD SUITE 2700
WARRINGTON PA
18976-2909
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-0105
  • Fax: 215-345-0562
Mailing address:
  • Phone: 215-345-0105
  • Fax: 215-345-0562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD484584
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: