MEDICARE: BRIAN D ROSENTHAL DO

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	208800000X	Urology Physician	OS010379L	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

General Provider Information

NPI Number	:	1922091891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN D ROSENTHAL DO

Provider Business Mailing Address
First Line	:	325 WEST GERMANTOWN PIKE
Second Line	:	SUITE 100
City	:	EAST NORRISTOWN
State	:	PA
Zip	:	19403
Country	:	US
Telephone Number	:	610-272-1881
Fax Number	:	610-275-8819

Provider Business Practice Location Address
First Line	:	325 WEST GERMANTOWN PIKE
Second Line	:	SUITE 100
City	:	EAST NORRISTOWN
State	:	PA
Zip	:	19403
Country	:	US
Telephone Number	:	610-272-1881
Fax Number	:	610-275-8819

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	05/24/2011

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Directions to “ BRIAN D ROSENTHAL DO” Practice Location

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