Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 25MB09864300 | NJ |
NPI | 1346600749 |
---|---|
Provider Name | Stephen Rossman |
First Address | Hackensack, NJ 07601-8566 |
Second Address | Hackensack, NJ 07601-8566 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2016 |
Last Update Date | 28/06/2019 |