Provider Demographics
NPI:1720146624
Name:ROSENBAUM, BARBARA B (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:B
Last Name:ROSENBAUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 SUMMIT AVENUE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2422
Mailing Address - Country:US
Mailing Address - Phone:301-897-2325
Mailing Address - Fax:310-897-2333
Practice Address - Street 1:10500 SUMMIT AVENUE
Practice Address - Street 2:
Practice Address - City:KANSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2138
Practice Address - Country:US
Practice Address - Phone:301-897-2325
Practice Address - Fax:301-897-2333
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD597252084P0800X
DCMD331382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HB0338Medicare UPIN
011145M92Medicare ID - Type Unspecified