Individual
LAURY ROSEFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3000
Mailing address
31 OSBORNE ST, BLOOMFIELD, NJ 07003-2714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09885900
NJ
207R00000X
Internal Medicine Physician
292369
NY
207R00000X
Internal Medicine Physician
57291
CT
207R00000X
Internal Medicine Physician
MD646542
PA
208000000X
Pediatrics Physician
25MA09885900
NJ
Other
Enumeration date
03/20/2012
Last updated
07/13/2023
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