Individual
JERRY ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
769 NORTHFIELD AVE, LL30, WEST ORANGE, NJ 07052-1198
(973) 669-0141
(973) 669-8220
Mailing address
769 NORTHFIELD AVE, LL30, WEST ORANGE, NJ 07052-1198
(973) 669-0141
(973) 669-8220
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
MA39496
NJ
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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