Provider Demographics
NPI:1548438757
Name:ROSENBERG, RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
Last Name:ROSENBERG
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 1:1 TIMBER KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1052
Mailing Address - Country:US
Mailing Address - Phone:267-394-0353
Mailing Address - Fax:888-774-2812
Practice Address - Street 1:1 TIMBER KNOLL DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON CROSSING
Practice Address - State:PA
Practice Address - Zip Code:18977-1052
Practice Address - Country:US
Practice Address - Phone:267-394-0353
Practice Address - Fax:888-774-2812
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042715L2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry