Organization
INGRID ROSEBOROUGH, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID ROSEBOROUGH MD (OWNER)
(510) 452-4900
Entity
Organization
Contact information
Practice address
3300 WEBSTER ST STE 509, OAKLAND, CA 94609-3149
(510) 452-4900
(510) 452-2152
Mailing address
3300 WEBSTER ST STE 509, OAKLAND, CA 94609-3149
(510) 452-4900
(510) 452-2152
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A92548
CA
207NS0135X
Procedural Dermatology Physician
A92548
CA
Other
Enumeration date
09/06/2012
Last updated
06/11/2013
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