Provider Demographics
NPI:1245302207
Name:ROZAN, MARIE LALOR (MD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:LALOR
Last Name:ROZAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 HORIZON DRIVE
Mailing Address - Street 2:
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945
Mailing Address - Country:US
Mailing Address - Phone:973-543-4118
Mailing Address - Fax:973-543-6272
Practice Address - Street 1:41 HORIZON DRIVE
Practice Address - Street 2:
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945
Practice Address - Country:US
Practice Address - Phone:973-543-4118
Practice Address - Fax:973-543-6272
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22071207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology