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Individual
STEVEN ROSENBERG
Active
Individual
STEVEN ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02246
NC
363A00000X
Physician Assistant
010768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2342616
MEDICARE PTAN, GROUP
NC
01
—
NC2843A
MEDICARE PTAN, INDIVIDUAL
NC
Enumeration date
06/30/2006
Last updated
03/27/2012
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