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General NPI Number Information
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NPI Number | 1336202274
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Entity Type | Organization
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Legal Business Name | ROSENBLATT FAMILY EYECARE ASSOCIATES, PA
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 80 E SOMERSET ST
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City | RARITAN
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State | NJ
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Zip | 08869-2113
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Country | US
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Telephone | 908-725-3331
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Fax | 908-725-3237
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Provider Business Mailing Address
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Address Line | 80 E SOMERSET ST
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City | RARITAN
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State | NJ
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Zip | 08869-2113
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Country | US
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Telephone | 908-725-3331
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Fax | 908-725-3237
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN D ROSENBLATT
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Credential | O.D.
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Telephone | 908-725-3331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 4986
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License Number State | NJ
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