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General NPI Number Information
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NPI Number | 1952597296
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Entity Type | Organization
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Legal Business Name | JOEL W ROSENBERG MD PA
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 721 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-1880
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Country | US
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Telephone | 973-778-7988
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Fax |
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Provider Business Mailing Address
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Address Line | 721 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-1880
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | JOEL ROSENBERG
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Credential |
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Telephone | 973-778-7988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 29411
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License Number State | NJ
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