Provider Demographics
NPI:1003952326
Name:ROCK, ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ROCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W LINFIELD-TRAPPE ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-4279
Mailing Address - Country:US
Mailing Address - Phone:484-938-4030
Mailing Address - Fax:484-938-4040
Practice Address - Street 1:420 W LINFIELD-TRAPPE ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-4279
Practice Address - Country:US
Practice Address - Phone:484-938-4030
Practice Address - Fax:484-938-4040
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018382E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD68716Medicare UPIN
051909Medicare ID - Type Unspecified