Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MA073351 | NJ |
NPI | 1043383995 |
---|---|
Provider Name | Eric R Rosendorf |
First Address | River Edge, NJ 07661-1939 |
Second Address | River Edge, NJ 07661-1939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 03/05/2013 |