Provider Demographics
NPI:1770514002
Name:ROZANSKI, LAWRENCE T (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:T
Last Name:ROZANSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1020 LAUREL OAK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3518
Mailing Address - Country:US
Mailing Address - Phone:856-435-8842
Mailing Address - Fax:856-435-6301
Practice Address - Street 1:1020 LAUREL OAK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3518
Practice Address - Country:US
Practice Address - Phone:856-435-8842
Practice Address - Fax:856-435-6301
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2016-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03860200207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1086707Medicaid
NJ420184MXVMedicare ID - Type Unspecified
NJC29202Medicare UPIN