Individual
DR. EDDIE ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
796 MT PROSPECT AVE, NEWARK, NJ 07104-3223
(973) 350-1770
(973) 350-1755
Mailing address
796 MT PROSPECT AVE, NEWARK, NJ 07104-3223
(973) 350-1770
(973) 350-1755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA068804
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8507201
—
NJ
Enumeration date
08/25/2006
Last updated
07/09/2007
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