MEDICARE: JOSHUA S. ROSENZWEIG MD

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	207R00000X	Internal Medicine Physician	MD431566	PA

General Provider Information

NPI Number	:	1942404652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA S. ROSENZWEIG MD

Provider Business Mailing Address
First Line	:	PO BOX 8277783
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-7783
Country	:	US
Telephone Number	:	215-204-2679
Fax Number	:	215-204-1784

Provider Business Practice Location Address
First Line	:	1316 W ONTARIO ST
Second Line	:	TEMPLE GENERAL INTERNLAL MEDICINE ASSOCIATES
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-5220
Country	:	US
Telephone Number	:	215-707-1800
Fax Number	:	215-707-3644

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

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	01/21/2010

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