Provider Demographics
NPI:1770803876
Name:ROSENBERG, BRIE-ANNE J (MD)
Entity type:Individual
Prefix:DR
First Name:BRIE-ANNE
Middle Name:J
Last Name:ROSENBERG
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 1:200 W ARBOR DR
Mailing Address - Street 2:MC: 8809
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-8809
Mailing Address - Country:US
Mailing Address - Phone:619-543-2165
Mailing Address - Fax:613-543-5996
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:MC: 8809
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-8809
Practice Address - Country:US
Practice Address - Phone:619-543-2165
Practice Address - Fax:613-543-5996
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program