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Individual

DR. ILYA M ROZENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 CAPITAL WAY, SUITE 326, PENNINGTON, NJ 08534-2521
(609) 882-8833
Mailing address
2 CAPITAL WAY, SUITE 326, PENNINGTON, NJ 08534-2521
(609) 882-8833

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
233311
NY
207W00000X
Ophthalmology Physician
Primary
25 MA 08432000
NJ
207W00000X
Ophthalmology Physician
MD433967
PA

Other

Enumeration date
01/16/2007
Last updated
04/23/2014
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