Individual
TINA G ROSENBAUM
Active
Individual
TINA G ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD33336
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036214500
—
DC
05
—
405397400
—
MD
01
—
75859902
BLUE SHIELD
MD
01
—
J8790001
BLUE SHIELD
DC
01
—
P00260364
RAILROAD MED
DC
Enumeration date
07/26/2005
Last updated
03/14/2012
Update your record
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