MEDICARE: STEVEN ROSENZWEIG M.D.

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	207P00000X	Emergency Medicine Physician	MD039522E	PA
2	208D00000X	General Practice Physician	MD039522E	PA

General Provider Information

NPI Number	:	1992719033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN ROSENZWEIG M.D.

Provider Business Mailing Address
First Line	:	123 CHESTNUT ST
Second Line	:	SUITE 204
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3059
Country	:	US
Telephone Number	:	215-627-3782
Fax Number	:	215-627-3695

Provider Business Practice Location Address
First Line	:	123 CHESTNUT ST
Second Line	:	SUITE 204
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3059
Country	:	US
Telephone Number	:	215-627-3782
Fax Number	:	215-627-3695

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/06/2009

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