Individual
CARLA W ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3414 ST PAUL STREET, BALTIMORE, MD 21218
(410) 323-7902
(410) 255-3617
Mailing address
608 EDGEVALE RD, BALTIMORE, MD 21210
(410) 323-7902
(410) 255-3617
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D31025
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350981800
—
MD
Enumeration date
11/01/2006
Last updated
03/04/2011
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