Individual
BRAD ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8-50 SUSAN PL, FAIR LAWN, NJ 07410-1616
(201) 835-6425
Mailing address
8-50 SUSAN PL, FAIR LAWN, NJ 07410-1616
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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