NICHOLAS ROSENLICHT MD INC NPI 1376295022

NPI Information

  • NPI: 1376295022
  • Provider Name: NICHOLAS ROSENLICHT MD INC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 526 VINCENTE AVE
    BERKELEY, CA
    ZIP 94707
  • Phone: (510) 558-3488

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NPI Details

NICHOLAS ROSENLICHT MD INC is a medical specialty clinic center in Berkeley, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NICHOLAS ROSENLICHT MD INC NPI is 1376295022. The provider is registered as an organization entity type.

The provider's business location address is:

526 VINCENTE AVE
BERKELEY, CA
ZIP 94707-522
Phone: (510) 558-3488
Fax: (855) 558-3488

The provider's authorized official is Nicholas Rosenlicht .
The authorized official title is President and has the following contact phone number (510) 558-3488.

The enumeration date for this NPI number is 1/24/2022 and was last updated on 4/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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