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General NPI Number Information
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NPI Number | 1013062991
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Entity Type | Individual
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Provider Name | BRUCE J ROSEN MD
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 431 MACDADE BLVD
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City | FOLSOM
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State | PA
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Zip | 19033-2401
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Country | US
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Telephone | 610-237-6300
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Fax | 610-586-2927
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Provider Business Mailing Address
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Address Line | 22 CEDAR HOLLOW DR
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City | ROSE VALLEY
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State | PA
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Zip | 19086-6719
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Country | US
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Telephone | 610-566-4964
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD019565E
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License Number State | PA
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