Individual
DR. NIURKA LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6900 PARK AVE STE 3, GUTTENBERG, NJ 07093-4483
(201) 766-0086
(201) 766-0094
Mailing address
6900 PARK AVE, SUITE 3, GUTTENBERG, NJ 07093-4482
(201) 779-4732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
249225
NY
208000000X
Pediatrics Physician
Primary
25MA08375200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255700
—
NJ
05
—
31809
—
NY
Enumeration date
07/07/2008
Last updated
08/16/2013
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