Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | MA44623 | NJ |
N | 2081P2900X | Pain Medicine | ME040291E | PA |
NPI | 1366465486 |
---|---|
Provider Name | Dr. Daniel Stuart Rosenberg |
First Address | Ewing, NJ 08628-0845 |
Second Address | Ewing, NJ 08628-0845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 03/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0411768000 | AMERIHEALTH (01) | PA |
098161 | CIGNA (01) | NJ |
1675152 | INDEPENDENCE BC (01) | PA |
235129700 | KEYSTONE (01) | PA |
4550143 | AETNA (01) | NJ |
C34764 | (02) | |
HEALTHNET | OK1493 (01) | NJ |
OXFORD | P647922 (01) | NJ |