Provider Demographics
NPI:1417091836
Name:ROSENBLITT, DAPHNE A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAPHNE
Middle Name:A
Last Name:ROSENBLITT
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 1:3721 UNIVERSITY DR STE C
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6231
Mailing Address - Country:US
Mailing Address - Phone:919-489-8727
Mailing Address - Fax:
Practice Address - Street 1:3721 UNIVERSITY DR STE C
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6231
Practice Address - Country:US
Practice Address - Phone:919-489-8727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC204352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC017K7Medicare UPIN