Provider Demographics
NPI:1316066483
Name:ROSENTHAL, NORMAN EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:EDWARD
Last Name:ROSENTHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11110 STEPHALEE LANE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3656
Mailing Address - Country:US
Mailing Address - Phone:301-770-5642
Mailing Address - Fax:301-770-6019
Practice Address - Street 1:11110 STEPHALEE LANE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3656
Practice Address - Country:US
Practice Address - Phone:301-770-5642
Practice Address - Fax:301-770-6019
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00243522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0024352OtherDEPT HEALTH
DCMD00000031459OtherDEPT HEALTH
DCMD00000031459OtherDEPT HEALTH