Provider Demographics
NPI:1275579609
Name:STEIN, ROSEMARY F (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:F
Last Name:STEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-6853
Mailing Address - Country:US
Mailing Address - Phone:336-570-0010
Mailing Address - Fax:336-570-0012
Practice Address - Street 1:2105 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-6853
Practice Address - Country:US
Practice Address - Phone:336-570-0010
Practice Address - Fax:336-570-0012
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA60881208000000X
GA040376208000000X
NC208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8912388Medicaid