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NPI Code Detail

MEDICARE: ROSEMARY DAUB

MEDICARE:   ROSEMARY  DAUB
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker

General Provider Information

NPI Number : 1578765384
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY DAUB
Provider Business Mailing Address
First Line : 1216 ARCH ST
Second Line : 6TH FLOOR
City : PHILADELPHIA
State : PA
Zip : 19107-2835
Country : US
Telephone Number : 215-981-0088
Fax Number : 215-854-0735
Provider Business Practice Location Address
First Line : 1026 ARCH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-3002
Country : US
Telephone Number : 267-940-5501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 07/21/2016

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Directions to “ ROSEMARY DAUB ” Practice Location

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