Individual
DR. MARK S. ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1777 HAMBURG TPKE, SUITE 102, WAYNE, NJ 07470-5211
(973) 831-7458
(973) 831-7585
Mailing address
1777 HAMBURG TPKE, SUITE 102, WAYNE, NJ 07470-5211
(973) 831-7458
(973) 831-7585
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
58905
NJ
207U00000X
Nuclear Medicine Physician
58905
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7726805
—
NJ
Enumeration date
04/06/2006
Last updated
09/11/2007
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