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NPI Code Detail

MEDICARE: LEA ROSENBAUM

MEDICARE: LEA ROSENBAUM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1790635878
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA ROSENBAUM
Provider Business Mailing Address
First Line : 500 W KENNEDY BLVD
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 W KENNEDY BLVD
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1254
Country : US
Telephone Number : 732-901-6001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ LEA ROSENBAUM ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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