Healthcare Provider Details

I. General information

NPI: 1306127741
Provider Name (Legal Business Name): AARON ABRAHAM ROSENSTEIN OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2011
Last Update Date: 08/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 N DUKE ST
DURHAM NC
27704-2623
US

IV. Provider business mailing address

2901 N DUKE ST
DURHAM NC
27704-2623
US

V. Phone/Fax

Practice location:
  • Phone: 919-471-4474
  • Fax:
Mailing address:
  • Phone: 919-471-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2248
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: