Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MA38682 | NJ |
NPI | 1114959285 |
---|---|
Provider Name | Dr. Roger G. Rosenstein |
First Address | Paramus, NJ 07652-2734 |
Second Address | Paramus, NJ 07652-2734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1171909 | (05) | NJ |
BS779 | OXFORD (01) | NJ |
C59145 | (02) |