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General NPI Number Information
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NPI Number | 1114087699
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Entity Type | Organization
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Legal Business Name | MICHAEL J. ROSNER, M.D., P.C.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 4242 COTTMAN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19135-1199
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Country | US
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Telephone | 215-624-3636
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Fax | 215-624-9568
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Provider Business Mailing Address
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Address Line | 4242 COTTMAN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19135-1199
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Country | US
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Telephone | 215-624-3636
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Fax | 215-624-9568
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL J ROSNER
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Credential | M.D.
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Telephone | 215-624-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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