Doctor Name: | BONNIE L. ROSENBERG |
NPI Number: | 1033274766 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A061162 |
Business Practice Address: | 401 Burgess Dr Ste B Suite 201 Menlo Park, CA - 940253476 |
Business Phone Number: | 6503255055 |
Business Fax Number: | 6503251295 |
Mailing Address: | 401 Burgess Dr Ste B, Suite 201 MENLO PARK |
State: | CA |
Postal Code: | 940253476 |
Phone Number: | 6503255055 |
Fax Number: | 6503251295 |
NPI Enumeration Date: | 12/22/2006 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A061162 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |