# ROSENBERG A REYES M D PSC

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

## Provider details

- **NPI number:** 1588710248
- **Authorized official:** DR. ROSENBERG A. REYES M.D. (PRESIDENT)
- **Authorized official phone:** (502) 368-2563

## Contact information

- **Practice address:** 320 W WOODLAWN AVE, LOUISVILLE, KY 40214-1924
- **Practice address phone:** (502) 368-2563
- **Practice address fax:** (502) 368-2427
- **Mailing address:** 4314 SEAGRAPE RD, LOUISVILLE, KY 40299-4086
- **Mailing address phone:** (502) 297-9959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35249 | KY | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 08/22/2020