Individual
JEFFREY ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8625
(908) 673-7132
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-5595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MA077428
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MA077428
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089041AUK
MEDICARE
NJ
Enumeration date
02/13/2006
Last updated
07/08/2019
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