Provider Demographics
NPI:1275680910
Name:CITRON, ROSE ANN V (CRT)
Entity Type:Individual
Prefix:
First Name:ROSE ANN
Middle Name:V
Last Name:CITRON
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CARTER DR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1110
Mailing Address - Country:US
Mailing Address - Phone:732-972-9500
Mailing Address - Fax:732-545-7474
Practice Address - Street 1:6 CARTER DR
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1110
Practice Address - Country:US
Practice Address - Phone:732-972-9500
Practice Address - Fax:732-545-7474
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ43ZA004527002278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ43ZA00452700OtherSTATE RESPIRATORY LICENSE