Individual
LAUREN ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
48 FAIRFIELD ST, MONTCLAIR, NJ 07042-4137
(973) 744-8511
Mailing address
48 FAIRFIELD ST, MONTCLAIR, NJ 07042-4137
(973) 744-8511
(973) 744-6356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10450900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2016
Last updated
08/14/2020
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