Individual
DR. IRA NEAL ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
251 GODWIN AVE, MIDLAND PARK, NJ 07432-1882
(201) 445-2797
Mailing address
97 GLEN KEITH RD # U, GLEN COVE, NY 11542-3514
(516) 674-1452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038209-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301802
—
NJ
Enumeration date
10/24/2006
Last updated
07/09/2007
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