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1972131845
LOGAN KYLE ROSENBERG
RICHMOND, VA
NPI
1972131845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-27
Last Update Date
2023-06-22
Business Address
LOGAN KYLE ROSENBERG MD
1200 E MARSHALL ST
RICHMOND, VA 23298-5023
Phone number: 800-762-6161
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Mailing Address
LOGAN KYLE ROSENBERG MD
20 SUTTON PL S APT 20C
NEW YORK, NY 10022-4348
Phone number: 914-548-6873
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