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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERROLD N ROSENBERG, MD

Deactivated Sole Proprietor

DR. JERROLD N ROSENBERG, MD is a Physical Medicine & Rehabilitation healthcare provider located in PROVIDENCE, Rhode Island. NPI 1639175763 is deactivated in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · PROVIDENCE, RI

This NPI has been deactivated. The record was deactivated on March 16, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1639175763
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2005 (0.72876712328767 yrs)
Last Updated
Sep 19, 2013
Deactivated
Mar 16, 2006
Licenses
MD7222 (RI)
MD07222 (RI)
Sole Proprietor
Yes

Practice Information

Address
827 N MAIN ST
SUITE 6
PROVIDENCE, RI, 029045751
Browse RI providers · Browse ZIP 02904
Phone
4014535030
Fax
4014535033
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in PROVIDENCE, RI

Name Credential NPI
DR. GABRIEL ABELLA M. D. 1548211519
DR. JON A MUKAND 1083787816
PAUL GAUVIN P.T. 1073665535
DR. CLAUDIA ANN WHEELER DO 1518154079
DR. JOSEF SETH FIELDS D.O. 1902187685
ALEXANDRA IRENE GUNDERSEN MD 1295264091
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.