Provider Demographics
NPI:1962744888
Name:REBER, ROSE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:ROSE MARIE
Middle Name:
Last Name:REBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 MONTROSE AVE
Mailing Address - Street 2:UNIT#14
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1558
Mailing Address - Country:US
Mailing Address - Phone:610-526-0121
Mailing Address - Fax:610-526-9390
Practice Address - Street 1:138 MONTROSE AVE
Practice Address - Street 2:UNIT#14
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1558
Practice Address - Country:US
Practice Address - Phone:610-526-0121
Practice Address - Fax:610-526-9390
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD012908E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics