Individual
RANDEE ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
455 PASSAIC AVE, APT 4D, PASSAIC, NJ 07055-3330
(973) 851-6759
Mailing address
455 PASSAIC AVE, APT 4D, PASSAIC, NJ 07055-3330
(973) 851-6759
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR13184200
NJ
163WR0006X
Registered Nurse First Assistant
577372-1
NY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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