Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | D0045727 | MD |
NPI | 1457341430 |
---|---|
Provider Name | Dr. Samuel M Rosenberg |
First Address | Rockville, MD 20850-3323 |
Second Address | Rockville, MD 20850-3323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 30/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
770121700 | (05) | MD |