MEDICARE: DR. RONALD S ROSENFELD M.D.

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	207RC0000X	Cardiovascular Disease Physician	015337	ME
2	207RC0000X	Cardiovascular Disease Physician	5642	NH

General Provider Information

NPI Number	:	1720271380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD S ROSENFELD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 208
Second Line	:
City	:	PERRY
State	:	ME
Zip	:	04667-0208
Country	:	US
Telephone Number	:	207-853-2425
Fax Number	:

Provider Business Practice Location Address
First Line	:	281 BIRCH POINT RD
Second Line	:
City	:	PERRY
State	:	ME
Zip	:	04667-3425
Country	:	US
Telephone Number	:	207-853-2425
Fax Number	:

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

Provider Enumeration Date	:	08/27/2007
Last Update Date	:	08/27/2007

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