| Rosenberg A Reyes M D Psc | |
|
320 W Woodlawn Ave Louisville KY 40214-1924 | |
| (502) 368-2563 | |
| (502) 368-2427 |
| Full Name | Rosenberg A Reyes M D Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 W Woodlawn Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Rosenberg A. Reyes (PRESIDENT) |
| Authorized Official Contact | 5023682563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosenberg A Reyes M D Psc 4314 Seagrape Rd Louisville KY 40299-4086 Ph: (502) 297-9959 | Rosenberg A Reyes M D Psc 320 W Woodlawn Ave Louisville KY 40214-1924 Ph: (502) 368-2563 |
| NPI Number | 1588710248 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588710248 | NPI | - | NPPES |
| 64004104 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35249 (Kentucky) | Primary |
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