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Individual

GEOFFREY L ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-9119
(434) 924-3300
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101277458
VA
208000000X
Pediatrics Physician
0101277458
VA
208000000X
Pediatrics Physician
D69103
MD
2080P0202X
Pediatric Cardiology Physician
Primary
0101277458
VA
2080P0202X
Pediatric Cardiology Physician
35080991
OH
2080P0202X
Pediatric Cardiology Physician
D69103
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306939608
VA
05
2321964
OH
05
412324701
MD
Enumeration date
10/02/2006
Last updated
08/11/2023
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