Organization
MOUNT PROSPECT PRIMARY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE ROSA MD (MEDICAL DOCTOR)
(732) 226-0757
Entity
Organization
Contact information
Practice address
796 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3223
(732) 226-0757
(732) 837-8514
Mailing address
796 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3223
(732) 226-0757
(732) 837-8514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA073494
NJ
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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