Provider Demographics
NPI:1104828128
Name:DAY, ROSANNE MARIE (PAC)
Entity Type:Individual
Prefix:
First Name:ROSANNE
Middle Name:MARIE
Last Name:DAY
Suffix:
Gender:F
Credentials:PAC
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Mailing Address - Street 1:3131 COLLEGE HEIGHTS BLVD
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4812
Mailing Address - Country:US
Mailing Address - Phone:610-439-8551
Mailing Address - Fax:610-439-4021
Practice Address - Street 1:3131 COLLEGE HEIGHTS BLVD
Practice Address - Street 2:SUITE 1200
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4812
Practice Address - Country:US
Practice Address - Phone:610-439-8551
Practice Address - Fax:610-439-4021
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2015-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA003470L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA044087HPVMedicare PIN
PA449251Medicare PIN
P20521Medicare UPIN