Individual
MORDECHAY ROSENBLUM
Active
Individual
MORDECHAY ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
45PO00005100
NJ
222Z00000X
Orthotist
Primary
CO1917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01175933
—
NY
Enumeration date
03/02/2007
Last updated
12/12/2007
Update your record
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