Individual
ATARA ROSENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 HACKENSACK AVE, HACKENSACK, NJ 07601-6328
(201) 465-8111
Mailing address
302 DWASLINE RD, PASSAIC, NJ 07055-2429
(973) 572-2889
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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