Provider Demographics
NPI:1457768749
Name:ROSNER, JULIE E (DPM)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:E
Last Name:ROSNER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2032 N. BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446
Mailing Address - Country:US
Mailing Address - Phone:215-257-6315
Mailing Address - Fax:844-873-2227
Practice Address - Street 1:2032 N. BROAD STREET
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446
Practice Address - Country:US
Practice Address - Phone:215-257-6315
Practice Address - Fax:844-873-2227
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAEL6668213ES0103X
DCPO100134213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA104199082-0001Medicaid
DC016232056Medicaid