Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 25MA05797400 | NJ |
N | 207RC0200X | Critical Care Medicine | MD037908E | PA |
Y | 207RP1001X | Pulmonary Disease | 25MA05797400 | NJ |
N | 207RP1001X | Pulmonary Disease | 25MA057974000 | NJ |
N | 207RP1001X | Pulmonary Disease | MD037908E | PA |
N | 207RS0012X | Sleep Medicine | 25MA05797400 | NJ |
N | 207RS0012X | Sleep Medicine | MD037908E | PA |
NPI | 1063461614 |
---|---|
Provider Name | Scott B Rosenberg |
First Address | Woodbury, NJ 08096-1695 |
Second Address | Woodbury, NJ 08096-1630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 12/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011274700001 | (05) | PA |
0025976 | (05) | NJ |