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NPI Code Detail

MEDICARE: LAURENCE J ROSENBERG MD

MEDICARE: LAURENCE J ROSENBERG MD
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
1207L00000XAnesthesiology Physician180985NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427070614
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURENCE J ROSENBERG MD
Provider Business Mailing Address
First Line : 3998 FAIR RIDGE DR
Second Line : SUITE 300
City : FAIRFAX
State : VA
Zip : 22033-2921
Country : US
Telephone Number : 703-295-9360
Fax Number : 703-295-9725
Provider Business Practice Location Address
First Line : 100 WOODS RD
Second Line :
City : VALHALLA
State : NY
Zip : 10595-1530
Country : US
Telephone Number : 914-493-7000
Fax Number : 914-493-8439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 05/04/2015

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