Individual
EDWARD STEVEN ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12000 MCCRACKEN RD, #453, GARFIELD HEIGHTS, OH 44125-2933
(216) 581-4900
(216) 581-7370
Mailing address
12000 MCCRACKEN RD, #453, GARFIELD HEIGHTS, OH 44125-2933
(216) 581-4900
(216) 581-7370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-053841
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189978
UNICARE
OH
05
—
0700487
—
OH
01
—
357410002
CARESOURCE
OH
01
—
4041169
AETNA
OH
01
—
533832
ADVANTRA FREEDOM
OH
01
—
T53841
SUMMACARE HEALTH PLAN
OH
Enumeration date
09/05/2005
Last updated
11/29/2007
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