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NPI Code Detail

MEDICARE: DR. GARY ALAN ROSENFELD DDS

MEDICARE:  DR. GARY ALAN ROSENFELD  DDS
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
11223S0112XOral and Maxillofacial Surgery (Dentist)044011NY

General Provider Information

NPI Number : 1528169166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY ALAN ROSENFELD DDS
Provider Business Mailing Address
First Line : 8 FAITH LN
Second Line :
City : DANBURY
State : CT
Zip : 06810-7122
Country : US
Telephone Number : 203-730-0506
Fax Number :
Provider Business Practice Location Address
First Line : 374 ROUTE 116
Second Line : COLONIAL COURT BUILDING
City : SOMERS
State : NY
Zip : 10589-2628
Country : US
Telephone Number : 914-277-8777
Fax Number : 914-277-8666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GARY ALAN ROSENFELD DDS” Practice Location

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