Provider Demographics
NPI:1124024641
Name:ROSENBERG, BETH SHARON (MD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:SHARON
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1600 PERIMETER PARK DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:940 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:919-942-5122
Practice Address - Fax:919-942-5730
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9401005207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8973108Medicaid
NC2202925DMedicare PIN