Organization
JERALD N. ROSENBERG, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERALD N. ROSENBERG D.M.D. (OWNER)
(201) 794-0260
Entity
Organization
Contact information
Practice address
19-21 FAIR LAWN AVE, SUITE 2H, FAIR LAWN, NJ 07410-2331
(201) 794-0260
(201) 794-7697
Mailing address
19-21 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2331
(201) 794-0260
(201) 794-7697
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI01598300
NJ
Other
Enumeration date
10/18/2006
Last updated
08/23/2016
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