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Individual

DR. BRENT HAYDEN ROSENTHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
800 W MAIN ST, SUITE 101, FREEHOLD, NJ 07728-2554
(732) 577-1222
(732) 577-9821
Mailing address
800 W MAIN ST, SUITE 101, FREEHOLD, NJ 07728-2554
(732) 577-1222
(732) 577-9821

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
MD01339
NJ
213EP0504X
Public Medicine Podiatrist
MD01339
NJ
213EP1101X
Primary Podiatric Medicine Podiatrist
MD01339
NJ
213ER0200X
Radiology Podiatrist
MD01339
NJ
213ES0000X
Sports Medicine Podiatrist
MD01339
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD01339
NJ
213ES0131X
Foot Surgery Podiatrist
MD01339
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2231000
NJ
Enumeration date
10/25/2006
Last updated
03/25/2010
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