Provider Demographics
NPI:1922085430
Name:ROSENBERG, SUZANNE H (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:H
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:19799 E LASALLE DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-9428
Mailing Address - Country:US
Mailing Address - Phone:303-881-3739
Mailing Address - Fax:303-500-0975
Practice Address - Street 1:1601 E 19TH AVE STE 3650
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1282
Practice Address - Country:US
Practice Address - Phone:303-881-3739
Practice Address - Fax:303-500-0975
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2022-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO347272081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO12127825Medicaid
CO12127825Medicaid
COE50193Medicare ID - Type Unspecified