Provider Demographics
NPI:1457422503
Name:ROSENBERG, PAUL A (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:A
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1 WASHINGTON SQUARE VLG
Mailing Address - Street 2:9B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1632
Mailing Address - Country:US
Mailing Address - Phone:212-388-1244
Mailing Address - Fax:212-388-1566
Practice Address - Street 1:133 E 58TH ST
Practice Address - Street 2:306
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1236
Practice Address - Country:US
Practice Address - Phone:212-838-3295
Practice Address - Fax:212-838-2893
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY237221223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics