Provider Demographics
NPI:1659452761
Name:ROSENBERG, RUTH SCHANZER (DMD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:SCHANZER
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2114 DARBY RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-2306
Mailing Address - Country:US
Mailing Address - Phone:610-789-2666
Mailing Address - Fax:610-789-2667
Practice Address - Street 1:2114 DARBY RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-2306
Practice Address - Country:US
Practice Address - Phone:610-789-2666
Practice Address - Fax:610-789-2667
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018894L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice