Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | D10148 | MD |
NPI | 1124088109 |
---|---|
Provider Name | Dr. Alfred B Rosenstein |
First Address | Baltimore, MD 21208-2800 |
Second Address | Baltimore, MD 21208-2800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0263011700 | (05) | MD |
E0042056 | (02) | MD |