Individual
MOSHE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 QUITMAN ST, NEWARK, NJ 07103-4105
(973) 424-4329
(973) 824-0806
Mailing address
1 MAPLEWOOD TERR, LAKEWOOD, NJ 08701
(732) 942-2988
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA07616100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097837
—
NJ
Enumeration date
12/13/2006
Last updated
07/09/2007
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