# DR. JERROLD N ROSENBERG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639175763
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD07222 | RI | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD7222 | RI | — |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 09/19/2013
