Individual
DR. MICHAEL KENNETH ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2300 PENNSYLVANIA AVE, SUITE 3C, WILMINGTON, DE 19806-1392
(302) 652-3469
(302) 652-7102
Mailing address
2300 PENNSYLVANIA AVE, SUITE 3C, WILMINGTON, DE 19806-1392
(302) 652-3469
(302) 652-7102
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C2-0006433
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000030201
—
DE
01
—
P00124364
RAILROAD MEDICARE
DE
Enumeration date
10/13/2006
Last updated
07/08/2007
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