Individual
DR. MICHAEL ROSENBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
14-25 PLAZA RD, FAIR LAWN, NJ 07410-3546
(201) 773-8686
(201) 773-8683
Mailing address
18-05 HILLERY ST, FAIR LAWN, NJ 07410-5208
(201) 773-8686
(201) 773-8683
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD002464
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7928301
—
NJ
Enumeration date
05/04/2006
Last updated
03/26/2015
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