MEDICARE: DRS. ROGOWSKI & ROGOWSKI PC

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	111N00000X	Chiropractor	DC001189-L	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	18595	OTHER	PA	ASH
3	0061070000	OTHER	PA	KEY E.AMERI HEALTH.PER CH
4	0068358001	OTHER	PA	AMERCHOICE
5	4287169	OTHER	PA	AETNA PPO
6	0973431000	OTHER	PA	KEY.EAST.PC & AMERI HEALT
7	113855	OTHER	PA	AETNA HMO
8	48152	OTHER	PA	KEYSTONE MERCY
9	1303354	OTHER	PA	BC BS
10	9339	OTHER	PA	ELDER HEALTH

General Provider Information

NPI Number	:	1598700957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. ROGOWSKI & ROGOWSKI PC

Provider Business Mailing Address
First Line	:	2608 ISLAND AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-1827
Country	:	US
Telephone Number	:	215-365-3344
Fax Number	:	215-492-0513

Provider Business Practice Location Address
First Line	:	2608 ISLAND AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-1827
Country	:	US
Telephone Number	:	215-365-3344
Fax Number	:	215-492-0513

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAYMOND P. ROGOWSKI
Credential	:	DC
Telephone Number	:	215-365-3344

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	04/28/2008

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