Provider Demographics
NPI:1104038520
Name:ROSENBAUM, ARTHUR ELIHU (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ELIHU
Last Name:ROSENBAUM
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 1:22 TREADWELL CT
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3764
Mailing Address - Country:US
Mailing Address - Phone:410-308-0705
Mailing Address - Fax:
Practice Address - Street 1:22 TREADWELL CT
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-3764
Practice Address - Country:US
Practice Address - Phone:410-308-0705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00251882085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB82795Medicare UPIN