Rosen, Ilene Michele
Rosen, Ilene Michele is an individual health care provider with primary practice located at 3624 Market St Suite 205, Philadelphia PA 19104-2614. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Rosen, Ilene Michele can be contacted via phone (215) 662-7772.Contact Information
Primary practice address
3624 Market St Suite 205
Philadelphia PA 19104-2614
Phone: (215) 662-7772
Fax: (215) 349-8038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD056964L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD056964L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | MD056964L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 25MA06898600 | New Jersey |
Profile Details
| NPI number | 1407871072 |
|---|---|
| LBN Legal business name | Rosen, Ilene Michele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Aug 29th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407871072 | NPPES |
| Pennsylvania | MEDICAID | 0016156910002 |
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