Individual
DR. FREDERICK JAY ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 S BROADWAY STE 201, LEXINGTON, KY 40504-2701
(859) 258-4568
(859) 258-4698
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28641
GA
207R00000X
Internal Medicine Physician
28641
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
028641
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2018-00697
NC
207RP1001X
Pulmonary Disease Physician
028641
GA
207RP1001X
Pulmonary Disease Physician
16450
SC
207RP1001X
Pulmonary Disease Physician
2018-00697
NC
207RP1001X
Pulmonary Disease Physician
Primary
48610
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000473668F
—
GA
05
—
G28641
—
SC
Enumeration date
03/20/2006
Last updated
03/10/2023
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