Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD044553L | PA |
NPI | 1013230770 |
---|---|
Provider Name | Rosemary Horstman |
First Address | Newtown Square, PA 19073-3200 |
Second Address | Newtown Square, PA 19073-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2010 |
Last Update Date | 10/03/2010 |