Individual
RICHARD G ROSIVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
381 CHESTNUT ST, UNION, NJ 07083-9430
(908) 686-2082
(908) 686-2149
Mailing address
381 CHESTNUT ST, UNION, NJ 07083-9430
(908) 686-2082
(908) 686-2149
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13763
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1345001
—
NJ
Enumeration date
11/30/2006
Last updated
05/02/2017
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