Provider Demographics
NPI:1972527828
Name:ROSENBERG, STANLEY E (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:E
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 1:100 ELM RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2504
Mailing Address - Country:US
Mailing Address - Phone:609-924-8907
Mailing Address - Fax:
Practice Address - Street 1:281 WITHERSPOON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3210
Practice Address - Country:US
Practice Address - Phone:609-924-6692
Practice Address - Fax:609-921-7020
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA01820300208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ029404Medicare ID - Type Unspecified