Charles I Rosenbaum, MD | |
12522 W. Colonial Trail Hwy., Crewe, VA 23930-0528 | |
(434) 645-9191 | |
(434) 645-1859 |
Full Name | Charles I Rosenbaum |
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Gender | Male |
Speciality | Family Medicine |
Location | 12522 W. Colonial Trail Hwy., Crewe, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912135740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101039344 (Virginia) | Primary |
Entity Name | Crewe Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316120892 PECOS PAC ID: 6901977883 Enrollment ID: O20080620000021 |
Mailing Address | Practice Location Address |
---|---|
Charles I Rosenbaum, MD 12522 W. Colonial Trail Hwy., P.o. Box 528, Crewe, VA 23930-0528 Ph: (434) 645-9191 | Charles I Rosenbaum, MD 12522 W. Colonial Trail Hwy., Crewe, VA 23930-0528 Ph: (434) 645-9191 |
Dr. Clarence Edward Hall Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12522 W. Colonial Trail Hwy., Crewe, VA 23930 Phone: 434-645-9191 Fax: 434-645-1859 | |
Dr. Jonathan Eric Marston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12522 W. Colonial Trail Hwy., Crewe, VA 23930 Phone: 434-645-9191 Fax: 434-645-1859 |