Healthcare Provider Details

I. General information

NPI: 1306849120
Provider Name (Legal Business Name): ABRAHAM ROSENBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 02/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7431 N UNIVERSITY DR STE 110
TAMARAC FL
33321-2956
US

IV. Provider business mailing address

450 ALTON ROAD
MIAMI BEACH FL
33139-6913
US

V. Phone/Fax

Practice location:
  • Phone: 954-726-0035
  • Fax: 954-726-4774
Mailing address:
  • Phone: 954-854-8929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME0032992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: