MEDICARE: DR. STEVEN A. ROSENBERG 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	273Y00000X	Rehabilitation Hospital Unit	D0016562	MD

General Provider Information

NPI Number	:	1376879312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN A. ROSENBERG M.D.

Provider Business Mailing Address
First Line	:	10104 IRON GATE RD
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-4728
Country	:	US
Telephone Number	:	301-299-7670
Fax Number	:

Provider Business Practice Location Address
First Line	:	10104 IRON GATE RD
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-4728
Country	:	US
Telephone Number	:	301-299-7670
Fax Number	:

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

Provider Enumeration Date	:	10/27/2009
Last Update Date	:	10/27/2009

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