Individual
JEFFREY ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2335 E KASHIAN LN, SUITE 301, FRESNO, CA 93701-2230
(559) 264-9100
(559) 264-9199
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9800375
NC
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
G88516
CA
2084N0400X
Neurology Physician
G88516
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
G88516
CA
2084N0600X
Clinical Neurophysiology Physician
G88516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891121H
—
NC
Enumeration date
07/13/2006
Last updated
06/20/2014
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