Rosenberg, Ira Neal

Rosenberg, Ira Neal is an individual health care provider with primary practice located at 251 Godwin Ave , Midland Park NJ 07432-1882. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rosenberg, Ira Neal can be contacted via phone (201) 445-2797.

Contact Information

Primary practice address
251 Godwin Ave Midland Park NJ 07432-1882
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 038209-1 New York

Profile Details

NPI number 1801979513
LBN Legal business name Rosenberg, Ira Neal
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801979513 NPPES
New Jersey MEDICAID 1301802

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