Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD026118E | PA |
NPI | 1124093596 |
---|---|
Provider Name | George L Rosenberg |
First Address | Natrona Heights, PA 15065 |
Second Address | Natrona Heights, PA 15065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 31/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000914435 | (05) | PA |
C21298 | (02) |