Individual
DR. JEROME ROSENTHAL
Active
Individual
DR. JEROME ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301036655
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0630127
BCBS INDIVIDUAL
MI
01
—
109680
CARE-PREFERRED CHOICES
MI
05
—
4639329
—
MI
01
—
C1393
M'CARE
MI
Enumeration date
12/07/2005
Last updated
07/08/2007
Update your record
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