Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0000X | Obstetrician | MD-022580-E | PA |
Y | 207VX0201X | Gynecologic Oncologist | MD-022580-E | PA |
NPI | 1538188487 |
---|---|
Provider Name | Norman G. Rosenblum |
First Address | Wynnewood, PA 19096-3437 |
Second Address | Wynnewood, PA 19096 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 15/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000882959 | (05) | PA |
2228106 | (05) | NJ |