Provider Demographics
NPI:1356377352
Name:ROSSI, MICHAEL G (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:G
Last Name:ROSSI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:100 N. 20TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1454
Mailing Address - Country:US
Mailing Address - Phone:215-977-8100
Mailing Address - Fax:215-977-8351
Practice Address - Street 1:34TH STREET & CIVIC CENTER BOULEVARD
Practice Address - Street 2:SUITE 9329
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4399
Practice Address - Country:US
Practice Address - Phone:215-590-1867
Practice Address - Fax:215-590-5824
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2009-11-16
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Provider Licenses
StateLicense IDTaxonomies
FLOS9780207L00000X
PAOS014936207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology