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1467460865
ILYA ROZENBERG
GLEN BURNIE, MD
NPI
1467460865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R143360)
Enumeration Date
2006-08-03
Last Update Date
2014-10-03
Business Address
Mr. ILYA ROZENBERG MS/CRNP
7452 BALTIMORE ANNAPOLIS BLVD SUITE 107
GLEN BURNIE, MD 21061-3547
Phone number: 410-766-1544
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Mailing Address
Mr. ILYA ROZENBERG MS/CRNP
3 MARCIE WOODS CT
BALTIMORE, MD 21208-1965
Phone number: 410-766-1544
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