Individual
DR. KEITH BRIAN ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
180 N COUNTY LINE RD, STE H, JACKSON, NJ 08527-4421
(732) 833-2800
(732) 833-4808
Mailing address
180 N COUNTY LINE RD, STE H, JACKSON, NJ 08527-4421
(732) 833-2800
(732) 833-4808
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00240300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TZ7323107
—
NJ
Enumeration date
03/17/2006
Last updated
02/08/2008
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