Provider Demographics
NPI:1881683563
Name:ROSENBLUM, CRAIG STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:STEVEN
Last Name:ROSENBLUM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:73950 ALESSANDRO DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3637
Mailing Address - Country:US
Mailing Address - Phone:760-346-5911
Mailing Address - Fax:760-346-5812
Practice Address - Street 1:73950 ALESSANDRO DR
Practice Address - Street 2:SUITE 2
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3637
Practice Address - Country:US
Practice Address - Phone:760-346-5911
Practice Address - Fax:760-346-5812
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG59060207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E24886Medicare UPIN