Healthcare Provider Details

I. General information

NPI: 1275680910
Provider Name (Legal Business Name): ROSE ANN V CITRON CRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 CARTER DR
MARLBORO NJ
07746-1110
US

IV. Provider business mailing address

6 CARTER DR
MARLBORO NJ
07746-1110
US

V. Phone/Fax

Practice location:
  • Phone: 732-972-9500
  • Fax: 732-545-7474
Mailing address:
  • Phone: 732-972-9500
  • Fax: 732-545-7474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278P1005X
TaxonomyPulmonary Rehabilitation Certified Respiratory Therapist
License Number43ZA00452700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: