Individual
BRUCE LAWRENCE ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
910 SYLVAN AVE STE 210, ENGLEWOOD CLIFFS, NJ 07632-3305
(201) 796-5400
Mailing address
200 ENGLE STREET, SUITE 26, ENGLEWOOD, NJ 07631
(201) 567-5546
(201) 567-2166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB04638900
NJ
207RG0100X
Gastroenterology Physician
Primary
25MB04638900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480029
—
NJ
Enumeration date
01/12/2007
Last updated
12/26/2023
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