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NPI Code Detail

MEDICARE: DR. ROSS BRETT ROSEMAN PHARMD

MEDICARE: DR. ROSS BRETT ROSEMAN PHARMD
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
1183500000XPharmacistRP045923LPA

General Provider Information

NPI Number : 1679854590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSS BRETT ROSEMAN PHARMD
Provider Business Mailing Address
First Line : 7001 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19135-1605
Country : US
Telephone Number : 215-543-0715
Fax Number : 215-543-0707
Provider Business Practice Location Address
First Line : 7001 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19135-1605
Country : US
Telephone Number : 215-543-0715
Fax Number : 215-543-0707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 09/06/2011

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