Healthcare Provider Details

I. General information

NPI: 1942448758
Provider Name (Legal Business Name): HELENE F ROSENBERG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2009
Last Update Date: 02/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROOM 11C215 MSC 1883 BLDG 10 NIAID, NIH 9000 ROCKVILLE PIKE
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

5607 GREENTREE RD
BETHESDA MD
20817-3549
US

V. Phone/Fax

Practice location:
  • Phone: 301-402-1545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number57727
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: