Individual
DR. JERRY H. ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4224 HOUMA BLVD, SUITE 260, METAIRIE, LA 70006-2933
(504) 887-5555
(504) 888-5031
Mailing address
4224 HOUMA BLVD, SUITE 260, METAIRIE, LA 70006-2933
(504) 887-5555
(504) 888-5031
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
015206
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347931
—
LA
Enumeration date
03/21/2006
Last updated
07/08/2007
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