Healthcare Provider Details

I. General information

NPI: 1679654891
Provider Name (Legal Business Name): ABRAHAM H ROSENZWEIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MT. PLEASANT AVE SUITE A
DOVER NJ
07801
US

IV. Provider business mailing address

600 MT. PLEASANT AVENUE SUITE A
DOVER NJ
07801
US

V. Phone/Fax

Practice location:
  • Phone: 973-989-0888
  • Fax: 973-989-0885
Mailing address:
  • Phone: 973-989-0888
  • Fax: 973-989-0885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMA03384400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: