Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MA05762800 | NJ |
N | 111NI0900X | Internist | 25MA05762800 | NJ |
N | 207R00000X | Internist | MD039869E | PA |
N | 111NI0900X | Internist | MD039869E | PA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA05762800 | NJ |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD039869E | PA |
NPI | 1073515706 |
---|---|
Provider Name | Daniel Rosenbaum |
First Address | Camden, NJ 08103-1088 |
Second Address | Willingboro, NJ 08046-1104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2005 |
Last Update Date | 21/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
011632 | AMERIHEALTH PPO (01) | NJ |
0191698000 | AMERICHOICE (01) | NJ |
0690949 | CIGNA (01) | NJ |
1542377 | UNITED HEALTHCARE (01) | NJ |
18916 | UNIVERISTY HEALTH PLAN (01) | NJ |
3818494 | AETNA (01) | NJ |
3K6070 | HEALTHNET, INC (01) | NJ |
5148600 | (05) | NJ |
F24147 | (02) | |
P00212201 | RR MEDICARE (01) | NJ |
P3597670 | OXFORD (01) | NJ |