Individual
MIRIAM ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1695 ROUTE 88 STE A, BRICK, NJ 08724-3029
(732) 202-7458
Mailing address
1695 ROUTE 88, BRICK, NJ 08724-3029
(732) 202-7458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR24433100
NJ
163W00000X
Registered Nurse
723556
NY
174400000X
Specialist
—
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ14938700
NJ
363LF0000X
Family Nurse Practitioner
349561
NY
Other
Enumeration date
10/02/2013
Last updated
03/24/2026
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