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Dr. Tracey Roesing
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Tracey Roesing |
| Gender: | F |
| Provider License Number If Given: | MD420073 |
NPI Information:
| NPI: | 1134122286 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 7/11/2014 |
Provider Business Mailing Address:
| Address: | 500 OLD YORK ROAD SUITE #108 Jenkintown, PA 19046 |
| Phone Number: | 2154812725 |
| Fax Number: | 2154813013 |
Provider Business Practice Location Address:
| Address: | 500 OLD YORK RD SUITE #108 Jenkintown, PA 19046 |
| Phone Number: | 2154812725 |
| Fax Number: | 2154813013 |
Provider Taxonomy:
| Primary: | 207Q00000X |
| Secondary (if any): | |
| State: | PA |
