Provider Demographics
NPI:1275228975
Name:ROZEN, PAULINA
Entity Type:Individual
Prefix:MS
First Name:PAULINA
Middle Name:
Last Name:ROZEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 PALMER CIR
Mailing Address - Street 2:
Mailing Address - City:MILLSTONE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08535-8546
Mailing Address - Country:US
Mailing Address - Phone:347-552-2252
Mailing Address - Fax:
Practice Address - Street 1:17 PALMER CIR
Practice Address - Street 2:
Practice Address - City:MILLSTONE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08535-8546
Practice Address - Country:US
Practice Address - Phone:347-552-2252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician