Organization
ROSENBERG A REYES M D PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSENBERG A. REYES M.D. (PRESIDENT)
(502) 368-2563
Entity
Organization
Contact information
Practice address
320 W WOODLAWN AVE, LOUISVILLE, KY 40214-1924
(502) 368-2563
(502) 368-2427
Mailing address
4314 SEAGRAPE RD, LOUISVILLE, KY 40299-4086
(502) 297-9959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64004104
—
KY
Enumeration date
01/26/2007
Last updated
08/22/2020
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