Provider Demographics
NPI:1083029334
Name:ROSENFELD, BRIAN (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:ROSENFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 E REDWOOD ST
Mailing Address - Street 2:SUITE 1900
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3316
Mailing Address - Country:US
Mailing Address - Phone:410-246-5354
Mailing Address - Fax:410-276-1970
Practice Address - Street 1:217 E REDWOOD ST
Practice Address - Street 2:SUITE 1900
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3316
Practice Address - Country:US
Practice Address - Phone:410-246-5354
Practice Address - Fax:410-276-1970
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0032956207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine