Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35052220 | OH |
NPI | 1003848284 |
---|---|
Provider Name | Dr. Alan H Rosenthal |
First Address | Beachwood, OH 44122-4464 |
Second Address | Beachwood, OH 44122-4464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0951528 | (05) | OH |