Provider Demographics
NPI:1326090853
Name:ROSENBERG, STUART A (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:A
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:STUART ROSENBERG M.D.
Mailing Address - Street 2:PO BOX 13401
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12212
Mailing Address - Country:US
Mailing Address - Phone:518-339-4484
Mailing Address - Fax:518-640-1690
Practice Address - Street 1:THE CENTER FOR WOUND CARE
Practice Address - Street 2:600 NORTHERN BLVD 6TH FLOOR
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204
Practice Address - Country:US
Practice Address - Phone:518-459-0711
Practice Address - Fax:518-640-1690
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-11-07
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Provider Licenses
StateLicense IDTaxonomies
NY126880-1208800000X
NY126880208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY92952OtherGHI HMO
NY000434075007OtherBLUE SHIELD OF NORTHEASTE
NY10001743OtherCAPITAL DISTRICT PHYSICIA
NY1099052OtherGHI PPO
NYSR04S24310OtherEMPIRE BLUE CROSS BLUE SH
NYP00291585OtherRAILROAD MEDICARE
NY24015OtherMOHAWK VALLEY PHYSICIANS
NY24015OtherMOHAWK VALLEY PHYSICIANS