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NPI Code Detail

MEDICARE: BARRY ROSENBERG, M.D., P.C.

MEDICARE: BARRY ROSENBERG, M.D., P.C.
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
12085R0202XDiagnostic Radiology Physician

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 : 1720018187
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARRY ROSENBERG, M.D., P.C.
Provider Business Mailing Address
First Line : PO BOX 8000
Second Line : DEPT. 679
City : BUFFALO
State : NY
Zip : 14267-0002
Country : US
Telephone Number : 716-692-3302
Fax Number : 716-692-4342
Provider Business Practice Location Address
First Line : 127 NORTH ST
Second Line :
City : BATAVIA
State : NY
Zip : 14020-1631
Country : US
Telephone Number : 585-344-5225
Fax Number : 716-692-4342
Authorized Official
Title or Position : OWNER
Name : BARRY ROSENBERG
Credential : MD
Telephone Number : 585-344-5225
Provider Enumeration Date : 07/03/2006
Last Update Date : 10/15/2007

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