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
Phone: (732) 477-2264
Fax: (732) 477-2599
Website:
Health care specialties
| Specialty | Code | License # | 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 2 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831178235 | NPPES |
| New Jersey | Other | 25MA06400000 | LIC |
| New Jersey | Other | D07019700 | LIC |
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