Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ML20008689 | WA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD60086938 | WA |
NPI | 1194833020 |
---|---|
Provider Name | Abby R Rosenberg |
First Address | Seattle, WA 98101-1309 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 11/09/2018 |