Healthcare Provider Details

I. General information

NPI: 1982932166
Provider Name (Legal Business Name): YOSEPH ROZENMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2009
Last Update Date: 11/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E. WOLFSON MED CTR POB 5/CARDIOVASC INST
HOLON IL
58100
IL

IV. Provider business mailing address

KHILAT VENETZIA 2/43
TEL - AVIV IL
69400
IL

V. Phone/Fax

Practice location:
  • Phone: 972-350-2840
  • Fax:
Mailing address:
  • Phone: 972-350-2840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number58256
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: