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General NPI Number Information
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NPI Number | 1770117798
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Entity Type | Organization
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Legal Business Name | ROSENBERG MATERNAL FETAL MEDICINE
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 1229 BROADWAY SUITE 201
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City | HEWLETT
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State | NY
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Zip | 11557
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Country | US
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Telephone | 516-501-9840
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Fax | 516-501-9850
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Provider Business Mailing Address
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Address Line | 1229 BROADWAY SUITE 201
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City | HEWLETT
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State | NY
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Zip | 11557
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Country | US
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Telephone | 516-501-9840
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Fax | 516-501-9850
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICTOR A. ROSENBERG
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Credential | M.D.
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Telephone | 516-501-9840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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