# NICHOLAS ROSENLICHT MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376295022
- **Authorized official:** NICHOLAS ROSENLICHT MD (PRESIDENT)
- **Authorized official phone:** (510) 558-3488

## Contact information

- **Practice address:** 526 VINCENTE AVE, BERKELEY, CA 94707-1522
- **Practice address phone:** (510) 558-3488
- **Practice address fax:** (855) 558-3488
- **Mailing address:** 1569 SOLANO AVE \# 324, BERKELEY, CA 94707-2116
- **Mailing address phone:** (510) 558-3488
- **Mailing address fax:** (510) 558-3488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2022
- **Last updated:** 04/15/2022