Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | MD01339 | NJ |
N | 222Z00000X | Podiatrist | MD01339 | NJ |
N | 213EP0504X | Public Medicine | MD01339 | NJ |
N | 213EP1101X | Primary Podiatric Medicine | MD01339 | NJ |
N | 111NR0200X | Radiology | MD01339 | NJ |
N | 213ER0200X | Radiology | MD01339 | NJ |
N | 2081S0010X | Sports Medicine | MD01339 | NJ |
N | 213ES0000X | Sports Medicine | MD01339 | NJ |
Y | 213ES0103X | Foot & Ankle Surgery | MD01339 | NJ |
N | 213ES0131X | Foot Surgery | MD01339 | NJ |
NPI | 1053495887 |
---|---|
Provider Name | Dr. Brent Hayden Rosenthal |
First Address | Freehold, NJ 07728-2554 |
Second Address | Freehold, NJ 07728-2554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 25/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2231000 | (05) | NJ |
T51400 | (02) | NJ |