| Rose M Lee, DO | |
| 
					1575 N 52nd St Ste S-33, Philadelphia, PA 19131-4736  | |
| (267) 930-4858 | |
| (267) 299-6270 | 
| Full Name | Rose M Lee | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine - Cardiovascular Disease | 
| Location | 1575 N 52nd St Ste S-33, Philadelphia, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558334151 | NPI | - | NPPES | 
| 001862960 0001 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | OS009745L (Pennsylvania) | Primary | 
| Entity Name | Dedicated Pennsylvania Holding Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477053569 PECOS PAC ID: 4688935653 Enrollment ID: O20180308000694  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rose M Lee, DO 1575 N 52nd St Ste S-33, Philadelphia, PA 19131-4736 Ph: (267) 930-4858  | Rose M Lee, DO 1575 N 52nd St Ste S-33, Philadelphia, PA 19131-4736 Ph: (267) 930-4858  | 
Philippe Olivier Szapary, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104 Phone: 215-615-4949  | |
Dr. Jamie L. Garfield, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-5864 Fax: 215-707-6867  | |
Maria Esther Escorcia De Leon, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-1622 Fax: 215-707-0943  | |
Cherag Daruwala, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 190b, Philadelphia, PA 19134 Phone: 215-926-3120 Fax: 215-926-3123  | |
Dr. Robert Burke, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208  | |
Eva Hassan Alsheik, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6071  | |
Dr. Jason Thomas Ackrivo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871  |