Individual provider · Type 1 NPI

Blake Daniel Rosenthal

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1083905764 Active

Practice location

833 Chestnut East, Suite 210
Philadelphia, PA 19107

Call (215) 955-9823 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083905764

Blake Daniel Rosenthal's National Provider Identifier is 1083905764, issued on Apr 28, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 28, 2011.