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NPI Code Detail

MEDICARE: HOWARD M ROSENFELD M.D.

MEDICARE: HOWARD M 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
12080P0202XPediatric Cardiology PhysicianG78396CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G78396OTHERCAMEDICAL LICENSE

General Provider Information

NPI Number : 1912993635
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOWARD M ROSENFELD M.D.
Provider Business Mailing Address
First Line : 747 52ND ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1809
Country : US
Telephone Number : 510-428-3294
Fax Number : 510-428-3381
Provider Business Practice Location Address
First Line : 747 52ND ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1809
Country : US
Telephone Number : 510-428-3294
Fax Number : 510-428-3381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 06/21/2012

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Directions to “ HOWARD M ROSENFELD M.D.” Practice Location

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