Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 11645 | CA |
NPI | 1104959824 |
---|---|
Provider Name | Dr. Matthew Fredric Rosenstein |
First Address | San Anselmo, CA 94960-2403 |
Second Address | San Francisco, CA 94123-2607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 08/07/2007 |