Individual
MR. MARK K ROSENBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 FOUCHER STREET M1005, GARY R GLYNN MD APMC, NEW ORLEANS, LA 70115
(504) 897-8543
(504) 897-8726
Mailing address
1401 FOUCHER STREET, M1005, NEW ORLEANS, LA 70115
(504) 897-8543
(504) 897-8726
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
07565R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1925594
—
LA
Enumeration date
11/27/2006
Last updated
06/04/2013
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