Provider Demographics
NPI:1831188465
Name:ROSENTHAL, ERIC THOMAS (PHD, SCM, CGC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:THOMAS
Last Name:ROSENTHAL
Suffix:
Gender:M
Credentials:PHD, SCM, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3855 HEALTH SCIENCES DR., MC 0658
Mailing Address - Street 2:MOORES UCSD CANCER CENTER
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0658
Mailing Address - Country:US
Mailing Address - Phone:858-822-2124
Mailing Address - Fax:858-534-4813
Practice Address - Street 1:3855 HEALTH SCIENCES DR., MC 0658
Practice Address - Street 2:MOORES UCSD CANCER CENTER
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0658
Practice Address - Country:US
Practice Address - Phone:858-822-2124
Practice Address - Fax:858-534-4813
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS