Provider Demographics
NPI:1962659912
Name:ROSENSTOCK, ADAM SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:SETH
Last Name:ROSENSTOCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:90 PROSPECT AVE
Mailing Address - Street 2:1D
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1909
Mailing Address - Country:US
Mailing Address - Phone:201-343-3433
Mailing Address - Fax:201-343-0420
Practice Address - Street 1:90 PROSPECT AVE
Practice Address - Street 2:1D
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1909
Practice Address - Country:US
Practice Address - Phone:201-343-3433
Practice Address - Fax:201-343-0420
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2013-05-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY251092208600000X
NJ25MA09124500208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery