Individual
DR. KENNETH B ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
26-07 BROADWAY, FAIR LAWN, NJ 07410-3832
(201) 796-3050
(201) 796-3385
Mailing address
26-07 BROADWAY, FAIR LAWN, NJ 07410-3832
(201) 796-3050
(201) 796-3385
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00349600
NJ
152WV0400X
Vision Therapy Optometrist
27T000072100
NJ
Other
Enumeration date
01/30/2006
Last updated
04/04/2008
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