Individual
IVY ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 342-1205
(201) 342-1259
Mailing address
PO BOX 34049, NEWARK, NJ 07189-0001
(201) 342-1205
(201) 342-1259
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA07585700
NJ
207L00000X
Anesthesiology Physician
221259
NY
Other
Enumeration date
10/27/2006
Last updated
05/30/2012
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