Healthcare Provider Details

I. General information

NPI: 1225962020
Provider Name (Legal Business Name): ROSNER CONCIERGE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 OLD EAGLE SCHOOL RD STE 203
WAYNE PA
19087-2564
US

IV. Provider business mailing address

85 OLD EAGLE SCHOOL RD STE 203
WAYNE PA
19087-2564
US

V. Phone/Fax

Practice location:
  • Phone: 610-839-8650
  • Fax:
Mailing address:
  • Phone: 610-839-8650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW ROSNER
Title or Position: OWNER/PROVIDER
Credential: MD
Phone: 610-839-8650