| Dr Leonard E Rosenfeld Pc | |
|
1740 South St Ste 402 Phila PA 19146-1514 | |
| (215) 382-6112 | |
| (215) 382-6115 |
| Full Name | Dr Leonard E Rosenfeld Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1740 South St Ste 402, Phila, Pennsylvania |
| Authorized Official Name and Position | Ruth Jamison (ADMINISTRATION) |
| Authorized Official Contact | 2677921101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leonard E Rosenfeld Pc 1740 South St Ste 402 Phila PA 19146-1514 Ph: (215) 382-6112 | Dr Leonard E Rosenfeld Pc 1740 South St Ste 402 Phila PA 19146-1514 Ph: (215) 382-6112 |
| NPI Number | 1912037847 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 12/08/2020 |
| Medicare PECOS PAC ID | 4486021623 |
|---|---|
| Medicare Enrollment ID | O20221101002253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912037847 | NPI | - | NPPES |
| 0980468 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS001780L (Pennsylvania) | Primary |
| Provider Name | Leonard E Rosenfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134142318 PECOS PAC ID: 2062681158 Enrollment ID: I20111201000546 |
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