Provider Demographics
NPI:1841228624
Name:ROSENBERG, EUGENE BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:BARRY
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 1:3609 N ARNOULT RD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1562
Mailing Address - Country:US
Mailing Address - Phone:772-342-4605
Mailing Address - Fax:772-342-4605
Practice Address - Street 1:3609 N ARNOULT RD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1562
Practice Address - Country:US
Practice Address - Phone:772-342-4605
Practice Address - Fax:772-342-4605
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 82947207RP1001X
LA12832207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
B61036Medicare UPIN