Individual
DR. ETHAN S. ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D88188
MD
208600000X
Surgery Physician
MD047589
DC
2086S0129X
Vascular Surgery Physician
Primary
12792806-1205
UT
2086S0129X
Vascular Surgery Physician
MD2024-1035
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D88188
MD LICENSE
MD
01
—
MD047589
DC LICENSE
DC
01
—
MD2024-1035
NM LICENSE
NM
Enumeration date
05/16/2016
Last updated
12/31/2025
Update your record
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