Provider Demographics
NPI:1750405783
Name:EPSTEIN, ROSALIND G (MD)
Entity type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:G
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:13404 QUAKING ASPEN PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-7159
Mailing Address - Country:US
Mailing Address - Phone:505-803-6565
Mailing Address - Fax:505-856-1681
Practice Address - Street 1:8301 SPAIN RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3166
Practice Address - Country:US
Practice Address - Phone:505-821-6663
Practice Address - Fax:505-823-2683
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM89-190207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM17467Medicaid
E30240Medicare UPIN
NM343731802Medicare PIN