MEDICARE: NORMAN G. ROSENBLUM 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	207VX0000X	Obstetrics Physician	MD-022580-E	PA
2	207VX0201X	Gynecologic Oncology Physician	MD-022580-E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538188487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMAN G. ROSENBLUM M.D.

Provider Business Mailing Address
First Line	:	100 E LANCASTER AVE STE 661
Second Line	:
City	:	WYNNEWOOD
State	:	PA
Zip	:	19096-3437
Country	:	US
Telephone Number	:	610-649-8085
Fax Number	:	610-649-8984

Provider Business Practice Location Address
First Line	:	100 E LANCASTER AVE STE 661
Second Line	:
City	:	WYNNEWOOD
State	:	PA
Zip	:	19096
Country	:	US
Telephone Number	:	610-649-8085
Fax Number	:	610-649-8984

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	06/15/2018

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Directions to “ NORMAN G. ROSENBLUM M.D.” Practice Location

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