Rotenberg, Fred A

Rotenberg, Fred A is an individual health care provider with primary practice located at 593 Eddy Street Davol 129, Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Rotenberg, Fred A can be contacted via phone (401) 444-4933.

Contact Information

Primary practice address
593 Eddy Street Davol 129 Providence RI 02903-4923
Phone: (401) 444-4933
Fax: (401) 444-5090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 6855 Rhode Island
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD06855 Rhode Island

Profile Details

NPI number 1699731828
LBN Legal business name Rotenberg, Fred A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 3rd, 2013 - about 11 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 1699731828 NPPES
Rhode Island MEDICAID 7000296

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