Healthcare Provider Details

I. General information

NPI: 1750325395
Provider Name (Legal Business Name): DR. DANIEL E ROSENBLATT
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 JAMES ST
EDISON NJ
08820-3947
US

IV. Provider business mailing address

8 HARRISON AVE
HIGHLAND PARK NJ
08904-1814
US

V. Phone/Fax

Practice location:
  • Phone: 732-321-7660
  • Fax:
Mailing address:
  • Phone: 732-937-6820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number25MA06295200
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: