Rosen, Matthew Marc

Rosen, Matthew Marc is an individual health care provider with primary practice located at 1100 Walnut Street Mob, 5Th Floor, Philadelphia PA 19107-5563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rosen, Matthew Marc can be contacted via phone (215) 955-6750.

Contact Information

Primary practice address
1100 Walnut Street Mob, 5Th Floor Philadelphia PA 19107-5563
Phone: (215) 955-6750
Fax: (215) 923-8222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT186210 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MD434539 Pennsylvania

Profile Details

NPI number 1134387061
LBN Legal business name Rosen, Matthew Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Apr 21st, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134387061 NPPES
Pennsylvania MEDICAID 102742172 0002
Pennsylvania MEDICAID 102742172 0001

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