Provider Demographics
NPI:1649314097
Name:ROSENWALD, SETH RICHARD (DO)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:RICHARD
Last Name:ROSENWALD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 CRABAPPLE LN
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-4587
Mailing Address - Country:US
Mailing Address - Phone:215-321-4165
Mailing Address - Fax:215-321-4419
Practice Address - Street 1:258 S STATE ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1946
Practice Address - Country:US
Practice Address - Phone:215-860-2125
Practice Address - Fax:215-321-4419
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005715L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry