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Individual

DR. JERALD N. ROSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
19-21 FAIR LAWN AVE, SUITE 2H, FAIR LAWN, NJ 07410-2331
(201) 794-0260
(201) 794-7697
Mailing address
19-21 FAIR LAWN AVE, SUITE 2H, FAIR LAWN, NJ 07410-2331
(201) 794-0260
(201) 794-7697

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI01598300
NJ

Other

Enumeration date
10/18/2006
Last updated
08/26/2016
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