Provider Demographics
NPI:1306982905
Name:ROSENBERG, MARTIN LOUIS (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:LOUIS
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 PARKS RD
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2477
Mailing Address - Country:US
Mailing Address - Phone:973-998-5223
Mailing Address - Fax:
Practice Address - Street 1:120 PARKS RD
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2477
Practice Address - Country:US
Practice Address - Phone:973-998-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ47245208D00000X
PAMD 032924E208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice