| Bruce S Rosenblum, M.d., P.c. | |
|
10630 Little Patuxent Pkwy Century Plaza 1000, 317 Columbia MD 21044-3264 | |
| (410) 772-0774 | |
| (410) 772-0776 |
| Full Name | Bruce S Rosenblum, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10630 Little Patuxent Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Bruce Rosenblum (PRESIDENT) |
| Authorized Official Contact | 4107720774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce S Rosenblum, M.d., P.c. 10630 Little Patuxent Pkwy Century Plaza 1000, 317 Columbia MD 21044-3264 Ph: (410) 772-0774 | Bruce S Rosenblum, M.d., P.c. 10630 Little Patuxent Pkwy Century Plaza 1000, 317 Columbia MD 21044-3264 Ph: (410) 772-0774 |
| NPI Number | 1295928026 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 03/21/2008 |
| Medicare PECOS PAC ID | 8224049937 |
|---|---|
| Medicare Enrollment ID | O20060509000912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295928026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0029739 (Maryland) | Primary |
| Provider Name | Bruce S Rosenblum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225052228 PECOS PAC ID: 9335198746 Enrollment ID: I20050112000862 |
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