Provider Demographics
NPI:1033193263
Name:FARBER, ROSANN (DO)
Entity type:Individual
Prefix:
First Name:ROSANN
Middle Name:
Last Name:FARBER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-602-8500
Mailing Address - Fax:215-676-6507
Practice Address - Street 1:4259 W SWAMP RD STE 108
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-1033
Practice Address - Country:US
Practice Address - Phone:215-863-8363
Practice Address - Fax:215-230-3861
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-006205-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0089205000OtherINDEPENDENCE BLUE CROSS
PA080097564OtherRR MEDICARE
PAP466050OtherOXFORD
PA482050OtherCOVENTRY HEALTH AMERICA
PA1075985OtherKMHP
PA5758458OtherAETNA PPO
PA001596362Medicaid
PA0544127OtherAETNA HMO
PA174739OtherHIGHMARK BLUE SHIELD
PA1075985OtherKMHP
PAP466050OtherOXFORD
PA1075985OtherKMHP
PAP466050OtherOXFORD