Individual
DR. DIANA GRACE ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
110 BERGEN ST RM D716, PEDIATRIC DENTISTRY DEPARTMENT, NEWARK, NJ 07103-2495
(973) 972-4621
Mailing address
24 MERCER ST, APT #1, JERSEY CITY, NJ 07302-4615
(617) 970-3966
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/13/2015
Last updated
06/13/2015
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