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Individual

DR. MARK ROSENBLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
85 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 442-5700
(855) 827-2321
Mailing address
85 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 442-5700
(855) 827-2321

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
42702
CO
207RG0100X
Gastroenterology Physician
Primary
MD-25477
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20121067
CO
Enumeration date
12/06/2005
Last updated
05/19/2025
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