Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | DS040697 | PA |
Y | 1223X0400X | Orthodontists | DS040697 | PA |
NPI | 1023476199 |
---|---|
Provider Name | Dr. Margaret Amelia Rosen |
First Address | Pittsburgh, PA 15228-2142 |
Second Address | Pittsburgh, PA 15228-2142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2016 |
Last Update Date | 29/06/2017 |