Provider Demographics
NPI:1669520805
Name:ROSENFELD, ROBERT JOSEPH (RTR)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOSEPH
Last Name:ROSENFELD
Suffix:
Gender:M
Credentials:RTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:651 SE 5TH TER
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-8127
Mailing Address - Country:US
Mailing Address - Phone:954-829-5545
Mailing Address - Fax:954-942-6780
Practice Address - Street 1:18851 NE 29TH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2808
Practice Address - Country:US
Practice Address - Phone:305-932-5554
Practice Address - Fax:305-937-0894
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL566992471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging