Individual
LAWRENCE D ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
690 KINDERKAMACK RD, SUITE 102, ORADELL, NJ 07649-1524
(201) 634-1600
(201) 634-1606
Mailing address
690 KINDERKAMACK RD, SUITE 102, ORADELL, NJ 07649-1524
(201) 634-1600
(201) 634-1606
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
198034
NY
208000000X
Pediatrics Physician
Primary
65632
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01689454
—
NY
Enumeration date
08/11/2005
Last updated
07/08/2008
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