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NPI Code Detail

MEDICARE: DR. ALEXANDRA ROSENBERG M.D.

MEDICARE: DR. ALEXANDRA 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
1207N00000XDermatology Physician0101262885VA

General Provider Information

NPI Number : 1649624008
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDRA ROSENBERG M.D.
Provider Business Mailing Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 808-389-3460
Fax Number :
Provider Business Practice Location Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 915-742-9353
Fax Number : 915-742-3419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2016
Last Update Date : 03/26/2026

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