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NPI Code Detail

MEDICARE: DR. RICHARD SCOTT ROSENBLUM MD

MEDICARE:  DR. RICHARD SCOTT ROSENBLUM  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
1208200000XPlastic Surgery Physician0101225952VA

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 : 1588660880
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD SCOTT ROSENBLUM MD
Provider Business Mailing Address
First Line : 2829 SHORE DR STE 200
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1498
Country : US
Telephone Number : 757-734-1000
Fax Number : 757-734-1001
Provider Business Practice Location Address
First Line : 2829 SHORE DR STE 200
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1498
Country : US
Telephone Number : 757-734-1000
Fax Number : 757-734-1001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 08/02/2022

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Directions to “ DR. RICHARD SCOTT ROSENBLUM MD” Practice Location

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