MEDICARE: DR. JOEL ROSENSTOCK MD MPH

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	207RI0200X	Infectious Disease Physician	032036	GA

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	:	1497746408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL ROSENSTOCK MD MPH

Provider Business Mailing Address
First Line	:	3193 HOWELL MILL RD NW STE 125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-2100
Country	:	US
Telephone Number	:	404-352-1223
Fax Number	:	404-352-1226

Provider Business Practice Location Address
First Line	:	3193 HOWELL MILL RD NW STE 125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-2100
Country	:	US
Telephone Number	:	404-352-1223
Fax Number	:	404-352-1226

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	02/11/2025

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