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Individual

DR. RICHARD ROSENTHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.,PH.D.

Contact information

Practice address
44125 WOODRIDGE PKWY, SUITE 100, LEESBURG, VA 20176-6839
(703) 729-8222
(703) 729-8221
Mailing address
44125 WOODRIDGE PKWY, SUITE 100, LEESBURG, VA 20176-6839
(703) 729-8222
(703) 729-8221

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101045165
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
290010816
RAILROAD MEDICARE
VA
05
5848776
VA
Enumeration date
07/12/2006
Last updated
04/23/2012
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