Individual
INGRID ROSEBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3300 WEBSTER ST, STE 509, OAKLAND, CA 94609-3117
(510) 452-4900
(510) 452-2152
Mailing address
3300 WEBSTER ST, STE 509, OAKLAND, CA 94609-3117
(510) 452-4900
(510) 452-2152
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
37075
IA
207N00000X
Dermatology Physician
Primary
A92548
CA
207NS0135X
Procedural Dermatology Physician
A92548
CA
Other
Enumeration date
03/14/2007
Last updated
09/11/2013
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