Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 036083053 | IL |
Y | 2080P0203X | Pediatric Critical Care Doctor | MD15985 | RI |
NPI | 1295741403 |
---|---|
Provider Name | Ranna A Rozenfeld |
First Address | Providence, RI 02903-4923 |
Second Address | Providence, RI 02903-4923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 14/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036083053 | (05) | IL |
F98600 | (02) |