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ROSE TREE MEDICAL ASSOCIATES LLC NPI 1093784886


NPI Information

NPI: 1093784886
Provider Name: ROSE TREE MEDICAL ASSOCIATES LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1098 W BALTIMORE PIKE
SUITE 3101 OUTPATIENT PAVILION
MEDIA, PA
ZIP 19063
Phone: (610) 891-9277
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ROSE TREE MEDICAL ASSOCIATES LLC is an internal medicine in Media, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ROSE TREE MEDICAL ASSOCIATES LLC NPI is 1093784886. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1098 W BALTIMORE PIKE
SUITE 3101 OUTPATIENT PAVILION
MEDIA, PA
ZIP 19063-139
Phone: (610) 891-9277
Fax: (610) 891-7778

The provider's authorized official is Denise Gallagher .
The authorized official title is Office Manager and has the following contact phone number (610) 891-9277.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 4/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicinePENNSYLVANIANo
2207R00000XInternal MedicinePENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1092006MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
21012914240002MEDICAIDPENNSYLVANIA
3DD7693OTHERPENNSYLVANIARAIL ROAD
41012914240001MEDICAIDPENNSYLVANIA
5DD7693MEDICARE OSCAR/CERTIFICATIONPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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