Provider Demographics
NPI:1588677447
Name:ROSEN, ROBERT M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:ROSEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:10 PARROTT MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2744
Mailing Address - Country:US
Mailing Address - Phone:973-635-2105
Mailing Address - Fax:973-635-2578
Practice Address - Street 1:10 PARROTT MILL ROAD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2744
Practice Address - Country:US
Practice Address - Phone:973-635-2105
Practice Address - Fax:973-635-2578
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJDI141851223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics