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NPI Code Detail

MEDICARE: ROSALIND G SHORENSTEIN MD

MEDICARE:   ROSALIND G SHORENSTEIN  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
1207R00000XInternal Medicine PhysicianG35463CA

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 : 1790765451
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALIND G SHORENSTEIN MD
Provider Business Mailing Address
First Line : 218 EL PINAR
Second Line :
City : LA SELVA BEACH
State : CA
Zip : 95076-1515
Country : US
Telephone Number : 831-818-1206
Fax Number :
Provider Business Practice Location Address
First Line : 700 FREDERICK ST
Second Line : SUITE 103
City : SANTA CRUZ
State : CA
Zip : 95062-2239
Country : US
Telephone Number : 831-458-1002
Fax Number : 831-458-3690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 09/22/2018

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Directions to “ ROSALIND G SHORENSTEIN MD” Practice Location

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