Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 270A00498600 | NJ |
NPI | 1306885827 |
---|---|
Provider Name | Dr. Brian D. Rosenblatt |
First Address | Raritan, NJ 08869-2113 |
Second Address | Raritan, NJ 08869-2113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U01588 | (02) | NJ |