Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 27TO00009700 | NJ |
NPI | 1043246952 |
---|---|
Provider Name | Dr. Beth R Rosenblatt |
First Address | Raritan, NJ 08869-2113 |
Second Address | Berkeley Heights, NJ 07922-2104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 21/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
447409 | (02) | NJ |