Provider Demographics
NPI:1104827765
Name:ROSETH, ARNE G (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNE
Middle Name:G
Last Name:ROSETH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:601 NORLAND AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4235
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4218
Practice Address - Street 1:501 E MAIN ST
Practice Address - Street 2:POTOMAC GASTROENTEROLOGY
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2353
Practice Address - Country:US
Practice Address - Phone:717-765-3468
Practice Address - Fax:717-765-3647
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD422416207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1971786Medicaid
PAH93410Medicare UPIN
PA1971786Medicaid