Provider Demographics
NPI:1013008333
Name:ROOKLIN, ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:ROOKLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 EVERGREEN DR STE 180
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1079
Mailing Address - Country:US
Mailing Address - Phone:610-579-3610
Mailing Address - Fax:610-876-2101
Practice Address - Street 1:300 EVERGREEN DR STE 180
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1079
Practice Address - Country:US
Practice Address - Phone:610-579-3610
Practice Address - Fax:610-579-3611
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018658E207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA414074Medicaid
B33540Medicare UPIN