Individual
DR. JACK ELLIOT ROSENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 CARMICHAEL AVE, BETHESDA, MD 20817-4612
(301) 873-7904
(301) 320-0856
Mailing address
7000 CARMICHAEL AVE, BETHESDA, MD 20817-4612
(301) 873-7904
(301) 320-0856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
D0018209
MD
2084P0800X
Psychiatry Physician
Primary
D18209
MD
Other
Enumeration date
09/20/2006
Last updated
03/22/2022
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