MEDICARE: DR. STEVEN ALAN ROSENFELD D.M.D.

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
1	1223G0001X	General Practice Dentistry	DS020289L	PA

General Provider Information

NPI Number	:	1366460644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN ALAN ROSENFELD D.M.D.

Provider Business Mailing Address
First Line	:	2533 WALNUT ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17103-1769
Country	:	US
Telephone Number	:	717-233-2477
Fax Number	:	717-233-8510

Provider Business Practice Location Address
First Line	:	2533 WALNUT ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17103-1769
Country	:	US
Telephone Number	:	717-233-2477
Fax Number	:	717-233-8510

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

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