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Organization
ROSA ITAL, MD INC
Active
Organization
ROSA ITAL, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA ITAL MD (OWNER)
(732) 281-7140
Entity
Organization
Contact information
Practice address
1140 BURNT TAVERN RD STE 2A, BRICK, NJ 08724-1496
(732) 202-7307
(732) 349-5229
Mailing address
31 CITATION DR, FREEHOLD, NJ 07728-4659
(732) 281-7140
(732) 349-5229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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