Individual
GARY JOEL ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
441 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4210
(949) 491-9991
Mailing address
441 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4210
(949) 491-9991
(949) 612-9795
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20A15694
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
20A15694
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
5101020846
MI
Other
Enumeration date
03/04/2011
Last updated
11/22/2024
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