Individual
DR. JASON ROTHENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
330 MAIN ST, MADISON, NJ 07940-2336
(973) 822-2308
(973) 822-3744
Mailing address
330 MAIN ST, MADISON, NJ 07940-2336
(973) 822-2308
(973) 822-3744
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02230500
NJ
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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