Provider Demographics
NPI:1871651208
Name:ROSENBLUM, DANIEL --- (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:---
Last Name:ROSENBLUM
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 1:3306 KENT STREET
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3211
Mailing Address - Country:US
Mailing Address - Phone:301-949-3378
Mailing Address - Fax:301-480-3661
Practice Address - Street 1:3306 KENT STREET
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3211
Practice Address - Country:US
Practice Address - Phone:301-949-3378
Practice Address - Fax:301-480-3661
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0004766207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology