Provider Demographics
NPI:1861461386
Name:ROSENBLATT, ARNOLD M (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:M
Last Name:ROSENBLATT
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 1:2600 TUSCARAWAS ST W
Mailing Address - Street 2:SUITE #500
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-4644
Mailing Address - Country:US
Mailing Address - Phone:330-452-8858
Mailing Address - Fax:330-452-7797
Practice Address - Street 1:2600 TUSCARAWAS ST W
Practice Address - Street 2:SUITE #500
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-4644
Practice Address - Country:US
Practice Address - Phone:330-452-8858
Practice Address - Fax:330-452-7797
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35030485R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0181146Medicaid
OHMA9258631Medicare ID - Type UnspecifiedGROUP
OH0181146Medicaid
OHRO0147952Medicare PIN