Provider Demographics
NPI:1639145923
Name:ROSENBERG, ALAN LESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LESTER
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 W CONEJOS PL
Mailing Address - Street 2:#424
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1333
Mailing Address - Country:US
Mailing Address - Phone:303-629-3865
Mailing Address - Fax:
Practice Address - Street 1:4200 W CONEJOS PL
Practice Address - Street 2:#424
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1333
Practice Address - Country:US
Practice Address - Phone:303-629-3865
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15588207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO7797-1Medicare ID - Type Unspecified
COE05729Medicare UPIN