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NPI Code Detail

MEDICARE: DR. JOSEPH A. ROSENTHAL MD

MEDICARE: DR. JOSEPH A. ROSENTHAL 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
12081P0301XBrain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianDR.0065740CO
2208100000XPhysical Medicine & Rehabilitation PhysicianDR.0065740CO

Other Identifiers

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

General Provider Information

NPI Number : 1902021108
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH A. ROSENTHAL MD
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11820 DESTINATION DR
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-2518
Country : US
Telephone Number : 303-464-4713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 08/12/2021

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