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Individual

JEFFREY DAVID ROSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 N BROAD ST, SUITE 202, ELIZABETH, NJ 07208-2310
(888) 428-4588
Mailing address
PO BOX 558, LUDLOW, VT 05149-0558
(716) 863-2907

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25MA07901100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0104361
NJ
Enumeration date
07/11/2006
Last updated
06/25/2008
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