Ital, Rosa

Ital, Rosa is an sole proprietor health care provider with primary practice located at 1140 Burnt Tavern Rd , Brick NJ 08724-1496. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ital, Rosa can be contacted via phone (732) 477-2264.

Contact Information

Primary practice address
1140 Burnt Tavern Rd Brick NJ 08724-1496
Fax: (732) 477-2599
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06400000 New Jersey

Profile Details

NPI number 1831178235
LBN Legal business name Ital, Rosa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831178235 NPPES
New Jersey Other 25MA06400000 LIC
New Jersey Other D07019700 LIC

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