Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 197370 | NY |
NPI | 1003865742 |
---|---|
Provider Name | Harvey L Rosen |
First Address | Westfield, NJ 07090-3134 |
Second Address | Westfield, NJ 07090-3134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01529840 | (05) | NY |
D63218 | (02) | NY |