Provider Demographics
NPI:1275658551
Name:RAU-LEVINE, ROSEMARY (M D)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:RAU-LEVINE
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 CHURCH ST
Mailing Address - Street 2:#1
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-2692
Mailing Address - Country:US
Mailing Address - Phone:415-522-0250
Mailing Address - Fax:
Practice Address - Street 1:690 CHURCH ST
Practice Address - Street 2:#1
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-2692
Practice Address - Country:US
Practice Address - Phone:415-522-0250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA21528207Q00000X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry