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Individual

CAROLINE D. HAYES-ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
140 BERGEN ST, LEVEL C, NEWARK, NJ 07103-2425
(973) 972-9000
(973) 972-2369
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07699900
NJ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA07699900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0037630
NJ
Enumeration date
12/05/2006
Last updated
02/03/2022
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