Provider Demographics
NPI:1497797468
Name:ROSENBERG, ZEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEIL
Middle Name:
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 YALE PL
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-1524
Mailing Address - Country:US
Mailing Address - Phone:646-402-5289
Mailing Address - Fax:646-390-3238
Practice Address - Street 1:40 YALE PL
Practice Address - Street 2:
Practice Address - City:CLOSTER
Practice Address - State:NJ
Practice Address - Zip Code:07624-1524
Practice Address - Country:US
Practice Address - Phone:646-402-5289
Practice Address - Fax:646-390-3238
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2008-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA073342002083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine