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NPI Code Detail

MEDICARE: DR. JEFFREY HARRIS ROSEN M.D.

MEDICARE: DR. JEFFREY HARRIS ROSEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMA046971NJ

General Provider Information

NPI Number : 1437145059
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY HARRIS ROSEN M.D.
Provider Business Mailing Address
First Line : 453 AMBOY AVE
Second Line :
City : WOODBRIDGE
State : NJ
Zip : 07095-2960
Country : US
Telephone Number : 732-636-6612
Fax Number : 732-636-8224
Provider Business Practice Location Address
First Line : 453 AMBOY AVE
Second Line :
City : WOODBRIDGE
State : NJ
Zip : 07095-2960
Country : US
Telephone Number : 732-636-6612
Fax Number : 732-636-8224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 02/09/2020

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