Provider Demographics
NPI:1699984328
Name:ROSENBERG, ALLISON (DO)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 HIGHWAY 37 WEST
Mailing Address - Street 2:DEPT OF RADIOLOGY- COMMUNITY MEDICAL CENTER
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 HIGHWAY 37 WEST
Practice Address - Street 2:DEPT OF RADIOLOGY- COMMUNITY MEDICAL CENTER
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755
Practice Address - Country:US
Practice Address - Phone:732-557-8151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-00085752085R0202X
MDH00701812085R0202X
NJ25MB091122002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology