Individual
DR. GLENN ROSENBLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-5001
(415) 476-4009
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A85560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A855600
—
CA
Enumeration date
09/27/2006
Last updated
11/28/2012
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