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Individual

MR. MITCHELL L ROSENTHAL I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
2350 ROUTE 10 APT D6, MORRIS PLAINS, NJ 07950-1229
(973) 580-2477
Mailing address
2350 ROUTE 10 APT D6, MORRIS PLAINS, NJ 07950-1229
(973) 580-2477

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00063800
NJ
2255A2300X
Athletic Trainer
AL 2335
FL

Other

Enumeration date
02/26/2016
Last updated
02/26/2016
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