MEDICARE: DAVID ROSE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MD028723E	PA

General Provider Information

NPI Number	:	1407815905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ROSE M.D.

Provider Business Mailing Address
First Line	:	1001 CHESTERBROOK BLVD
Second Line	:
City	:	BERWYN
State	:	PA
Zip	:	19312-3805
Country	:	US
Telephone Number	:	610-576-7500
Fax Number	:	610-576-7705

Provider Business Practice Location Address
First Line	:	1001 CHESTERBROOK BLVD
Second Line	:
City	:	BERWYN
State	:	PA
Zip	:	19312-3805
Country	:	US
Telephone Number	:	610-576-7500
Fax Number	:	610-576-7705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	09/06/2022

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Directions to “ DAVID ROSE M.D.” Practice Location

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