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Individual

JOEL M ROSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 329-7001
(315) 329-7025
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 701-5607

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
167087
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
167087
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01022453
NY
Enumeration date
06/09/2005
Last updated
07/01/2013
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