Provider Demographics
NPI:1912946294
Name:ROSENBACH, STEFAN P (MD)
Entity type:Individual
Prefix:DR
First Name:STEFAN
Middle Name:P
Last Name:ROSENBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:147 GETTYS STREET
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325
Practice Address - Country:US
Practice Address - Phone:717-337-4216
Practice Address - Fax:717-337-4249
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2024-10-28
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-03
Provider Licenses
StateLicense IDTaxonomies
PAMD419258207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50067136OtherCAPITAL BLUE CROSS-GH
PA1529761OtherGATEWAY-GH
PA001867330Medicaid
PA57422OtherGEISINGER-GH
PA2021418000OtherAMERIHEALTH 65 PA-GH
PA1328717OtherHIGHMARK BLUE SHIELD-GH
PA139792OtherUNISON-GH
PA20041772OtherAMERIHEALTH MERCY-GH
PA139792OtherUNISON-GH