MEDICARE: DR. JOEL BENJAMIN ROSENBERG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	24287	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326008004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL BENJAMIN ROSENBERG MD

Provider Business Mailing Address
First Line	:	215 W SONDLEY DR
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28805-1154
Country	:	US
Telephone Number	:	828-253-1482
Fax Number	:	828-258-2589

Provider Business Practice Location Address
First Line	:	445 BILTMORE AVE
Second Line	:	SUITE 305
City	:	ASHEVILLE
State	:	NC
Zip	:	28801-4565
Country	:	US
Telephone Number	:	828-253-1482
Fax Number	:	828-258-2589

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	07/08/2007

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