MEDICARE: DR. ALAN HARRIS ROSEN 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	208000000X	Pediatrics Physician	MD483114	PA

General Provider Information

NPI Number	:	1962437608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN HARRIS ROSEN MD

Provider Business Mailing Address
First Line	:	103 BRADFORD RD STE 200
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-6910
Country	:	US
Telephone Number	:	724-933-1100
Fax Number	:	724-933-1160

Provider Business Practice Location Address
First Line	:	4055 MONROEVILLE BLVD BLDG 1
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2522
Country	:	US
Telephone Number	:	412-666-3850
Fax Number	:	126-663-8214

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/15/2024

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