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NPI Code Detail

MEDICARE: DR. MARC DAVID ROSENBERG D.D.S.

MEDICARE:  DR. MARC DAVID ROSENBERG  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDDS028986NY

General Provider Information

NPI Number : 1174544662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC DAVID ROSENBERG D.D.S.
Provider Business Mailing Address
First Line : 57 W 57TH ST
Second Line : SUITE 1402
City : NEW YORK
State : NY
Zip : 10019-2802
Country : US
Telephone Number : 212-758-7704
Fax Number : 212-759-7270
Provider Business Practice Location Address
First Line : 57 W 57TH ST
Second Line : SUITE 1402
City : NEW YORK
State : NY
Zip : 10019-2802
Country : US
Telephone Number : 212-758-7704
Fax Number : 212-759-7270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MARC DAVID ROSENBERG D.D.S.” Practice Location

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