Individual
TODD MICHAEL ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
571 CENTRAL AVE STE 115, NEW PROVIDENCE, NJ 07974
(908) 464-4200
(908) 464-1332
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA10019700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
INTERN
—
LA
Enumeration date
06/13/2011
Last updated
09/06/2018
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