Individual
DR. PAUL BENJAMIN ROLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2166 BROADWAY APT 21A, NEW YORK, NY 10024-6673
(212) 396-2260
(954) 698-6963
Mailing address
2166 BROADWAY APT 21A, NEW YORK, NY 10024-6673
(212) 396-2260
(954) 698-6963
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
186121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01818079
—
NY
01
—
P00449080
RAILROAD MEDICARE
NY
Enumeration date
07/02/2006
Last updated
08/31/2016
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