Rosenberg, Andrew Eric

Rosenberg, Andrew Eric is an sole proprietor health care provider with primary practice located at 1611 Nw 12Th Ave , Miami FL 33136-1005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Rosenberg, Andrew Eric can be contacted via phone (305) 585-6303.

Contact Information

Primary practice address
1611 Nw 12Th Ave Miami FL 33136-1005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 52008 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X ME107816 Florida

Profile Details

NPI number 1548246259
LBN Legal business name Rosenberg, Andrew Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Jan 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548246259 NPPES
Massachusetts Other 052008 TUFTS HEALTH PLAN
Massachusetts MEDICAID 6190456 TUFTS HEALTH PLAN
Massachusetts Other J04253 TUFTS HEALTH PLAN
Massachusetts MEDICAID 0040140-00 TUFTS HEALTH PLAN

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