Healthcare Provider Details

I. General information

NPI: 1528370251
Provider Name (Legal Business Name): ANDREW DOUGLAS ROSNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2010
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 OLD EAGLE SCHOOL RD
WAYNE PA
19087-2556
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: 610-860-4425
Mailing address:
  • Phone: 610-839-8650
  • Fax: 610-860-4425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD453335
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: