Provider Demographics
NPI:1376527804
Name:HALLETT, ROSEMARY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:
Last Name:HALLETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:451 E. HEALTH SCIENCES DR
Mailing Address - Street 2:SUITE 6510
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-8660
Mailing Address - Country:US
Mailing Address - Phone:530-752-2884
Mailing Address - Fax:530-754-6047
Practice Address - Street 1:451 E. HEALTH SCIENCES DR
Practice Address - Street 2:SUITE 6510
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-8660
Practice Address - Country:US
Practice Address - Phone:530-752-2884
Practice Address - Fax:530-754-6047
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA71662207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology