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NPI Code Detail

MEDICARE: DR. DAVID C ROSENTHAL D.P.M.

MEDICARE: DR. DAVID C ROSENTHAL D.P.M.
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
1213E00000XPodiatristSC001908LPA

General Provider Information

NPI Number : 1710973219
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID C ROSENTHAL D.P.M.
Provider Business Mailing Address
First Line : 1244 FORT WASHINGTON AVE
Second Line :
City : FORT WASHINGTON
State : PA
Zip : 19034-1743
Country : US
Telephone Number : 215-628-4141
Fax Number : 215-628-0786
Provider Business Practice Location Address
First Line : 1244 FORT WASHINGTON AVE
Second Line :
City : FORT WASHINGTON
State : PA
Zip : 19034-1743
Country : US
Telephone Number : 215-628-4141
Fax Number : 215-628-0786
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 02/08/2008

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