Active NPIIndividual providerSole proprietor

Dr. Mark Rosenberg, MD

Family Medicine in Cranston, Rhode Island

NPI Number1053412767
Practice location
725 Reservoir Ave, Suite 102, Cranston, RI 02910-4448
Fax
401-946-5130
Last updated
April 11, 2016

Mark Rosenberg is a Family Medicine based in Cranston, RI. Mark Rosenberg practices in Cranston, RI and has the professional credentials of MD. The NPI Number for Mark Rosenberg is 1053412767 and holds a License No. MD09624 (RI). The current practice location address for Mark Rosenberg is 725 Reservoir Ave, Suite 102, Cranston, RI 02910-4448 and can be reached out via phone at 401-943-6910 and via fax at 401-946-5130.

Provider Profile Details

NPI Number
1053412767
Provider Name
Mark Rosenberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
725 Reservoir Ave, Suite 102, Cranston, RI 02910-4448
Phone Number
401-943-6910
Fax Number
401-946-5130
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2006
Last Update Date
April 11, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
725 Reservoir Ave
Suite 102
Cranston, RI 02910-4448
Zip
02910-4448
Phone Number
401-943-6910
Fax Number
401-946-5130
Cranston, RI 02910Get directions →

Provider Business Mailing Address Details

Address
725 Reservoir Ave
Suite 102
Cranston, RI 02910-4448
City
Cranston
State
RI
Zip
02910-4448
Phone Number
401-943-6910
Fax Number
401-946-5130

License Information

License Number
MD09624
License State
RI
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark Rosenberg, MD?

The NPI number of Dr. Mark Rosenberg, MD is 1053412767. It was assigned on September 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark Rosenberg, MD?

Dr. Mark Rosenberg, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number MD09624.

Where does Dr. Mark Rosenberg, MD practice?

The practice location is 725 Reservoir Ave, Suite 102, Cranston, RI 02910-4448. The office can be reached at 401-943-6910 (phone) or 401-946-5130 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053412767 directly on the NPPES registry website.

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