| Jerald N. Rosenberg, Dmd, Llc | |
|
19-21 Fair Lawn Ave Suite 2h Fair Lawn NJ 07410-2331 | |
| (201) 794-0260 | |
| (201) 794-7697 |
| Full Name | Jerald N. Rosenberg, Dmd, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 19-21 Fair Lawn Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Jerald N. Rosenberg (OWNER) |
| Authorized Official Contact | 2017940260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerald N. Rosenberg, Dmd, Llc 19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331 Ph: (201) 794-0260 | Jerald N. Rosenberg, Dmd, Llc 19-21 Fair Lawn Ave Suite 2h Fair Lawn NJ 07410-2331 Ph: (201) 794-0260 |
| NPI Number | 1811078785 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811078785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI01598300 (New Jersey) | Primary |
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