Provider Demographics
NPI:1679654891
Name:ROSENZWEIG, ABRAHAM H (MD)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:H
Last Name:ROSENZWEIG
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 1:600 MT. PLEASANT AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801
Mailing Address - Country:US
Mailing Address - Phone:973-989-0888
Mailing Address - Fax:973-989-0885
Practice Address - Street 1:600 MT. PLEASANT AVE
Practice Address - Street 2:SUITE A
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801
Practice Address - Country:US
Practice Address - Phone:973-989-0888
Practice Address - Fax:973-989-0885
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA03384400207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJOR501031Medicare ID - Type Unspecified
NJ18569Medicare UPIN