Provider Demographics
NPI:1235125709
Name:ROSENBERG, STEPHEN ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ALAN
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5780 PEACHTREE DUNWOODY ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1513
Mailing Address - Country:US
Mailing Address - Phone:404-303-1224
Mailing Address - Fax:404-303-1325
Practice Address - Street 1:11975 MORRIS RD
Practice Address - Street 2:SUITE 310
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4419
Practice Address - Country:US
Practice Address - Phone:770-752-0824
Practice Address - Fax:770-752-0845
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2016-05-17
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Provider Licenses
StateLicense IDTaxonomies
GA025661207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000284919EMedicaid
GA000284919GMedicaid
GA000284919FMedicaid
GA000284919KMedicaid
GA000284919GMedicaid