Provider Demographics
NPI:1235394826
Name:ROSENTHAL, LAUREN B (MD, MPH)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:B
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:B
Other - Last Name:SCHAEVITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6136
Mailing Address - Country:US
Mailing Address - Phone:973-971-5996
Mailing Address - Fax:973-290-7979
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5996
Practice Address - Fax:973-290-7979
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA084123002080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology