Provider Demographics
NPI:1518070473
Name:ROSENBAUM, BERNSTEN & WRIGHT
Entity Type:Organization
Organization Name:ROSENBAUM, BERNSTEN & WRIGHT
Other - Org Name:TOWN & COUNTRY PEDIATRIC MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SIRAGUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-666-1860
Mailing Address - Street 1:3838 CALIFORNIA ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118
Mailing Address - Country:US
Mailing Address - Phone:415-666-1860
Mailing Address - Fax:415-666-0121
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:SUITE 111
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118
Practice Address - Country:US
Practice Address - Phone:415-666-1860
Practice Address - Fax:415-666-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty