Rosenberg, Paul Ronald

Rosenberg, Paul Ronald is an individual health care provider with primary practice located at 130 Fort Washington Avenue Ste 114, New York NY 10032. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rosenberg, Paul Ronald can be contacted via phone (212) 568-2600.

Contact Information

Primary practice address
130 Fort Washington Avenue Ste 114 New York NY 10032
Fax: (212) 568-0097
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD029241E Pennsylvania

Profile Details

NPI number 1932198454
LBN Legal business name Rosenberg, Paul Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932198454 NPPES
Pennsylvania MEDICAID 0009484060004

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