Organization
UNIVERSITY UROLOGY PA
Active
Other names
Rosenberg & Basralian, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE ROSENBERG MD (DELEGATED OFFICIAL)
(201) 343-0082
Entity
Organization
Contact information
Practice address
20 PROSPECT AVE, SUITE 719, HACKENSACK, NJ 07601-1997
(201) 343-0082
Mailing address
20 PROSPECT AVE, SUITE 719, HACKENSACK, NJ 07601-1997
(201) 343-0082
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03648000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0466553
AETNA HMO GROUP #
NJ
01
—
2851785000
AMERIHEALTH HMO GROUP #
NJ
05
—
3055507
—
NJ
01
—
5854449
AETNA PPO GROUP #
NJ
01
—
CA8379
RAILROAD MEDICARE GROUP #
NJ
Enumeration date
06/11/2006
Last updated
09/20/2007
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