Whalio Doctors

NPI 1639175763

Jerrold N Rosenberg, MD

Practitioner Physical Medicine & Rehabilitation Physician Providence, RI

Practice location

Address
827 N Main St Suite 6, Providence, RI 02904-5751
Phone
(401) 453-5030
Fax
(401) 453-5033

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence MD07222 (RI)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence MD7222 (RI)

Registry record

NPI
1639175763
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jun 2005
Record last updated
19 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.