Organization
BRUCE R. ROSENBLUM, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE R ROSENBLUM M.D. (PRESIDENT)
(732) 460-1522
Entity
Organization
Contact information
Practice address
160 AVENUE OF THE CMN, SHREWSBURY, NJ 07702-4802
(732) 460-1522
(732) 460-1529
Mailing address
PO BOX 159, COLTS NECK, NJ 07722-0159
(732) 460-1522
(732) 460-1529
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA05714300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5041007
—
NJ
Enumeration date
01/31/2007
Last updated
08/22/2020
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