Provider Demographics
NPI:1568437929
Name:ROSEN, RACHEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:E
Last Name:ROSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 606
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-0606
Mailing Address - Country:US
Mailing Address - Phone:215-675-1516
Mailing Address - Fax:215-675-0901
Practice Address - Street 1:345 N YORK RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-2045
Practice Address - Country:US
Practice Address - Phone:215-675-1516
Practice Address - Fax:215-675-0901
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD072626L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001843338-0003Medicaid
PA001843338-0003Medicaid
H45602Medicare UPIN