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Individual

MR. MATTHEW JARED ROSENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
101 BURROWS CT, OCEANSIDE, CA 92058-8363
(910) 581-6624
Mailing address
22 AREA MCMH BLDG 22190, CAMP PENDELTON, CA 92055
(910) 581-6624

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
PA65696
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1243697340
ACTIVE DUTY MILITARY
Enumeration date
01/12/2011
Last updated
07/15/2025
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