Provider Demographics
NPI:1942226980
Name:ROSENBAUM, SETH DAVID (MD, MMM)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:DAVID
Last Name:ROSENBAUM
Suffix:
Gender:M
Credentials:MD, MMM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
Mailing Address - Street 2:1 HAMILTON HEALTH PLACE
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690
Mailing Address - Country:US
Mailing Address - Phone:609-584-2865
Mailing Address - Fax:609-890-7638
Practice Address - Street 1:ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON
Practice Address - Street 2:1 HAMILTON HEALTH PLACE
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-584-2865
Practice Address - Fax:609-890-7638
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07766000207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0067172Medicaid
NJI30082Medicare UPIN
NJ091177A0BMedicare ID - Type Unspecified
NJ0067172Medicaid