Rosenthal, Keith Brian

Rosenthal, Keith Brian is an individual health care provider with primary practice located at 180 N County Line Rd Ste H, Jackson NJ 08527-4421. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rosenthal, Keith Brian can be contacted via phone (732) 833-2800.

Contact Information

Primary practice address
180 N County Line Rd Ste H Jackson NJ 08527-4421
Phone: (732) 833-2800
Fax: (732) 833-4808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00240300 New Jersey

Profile Details

NPI number 1952370132
LBN Legal business name Rosenthal, Keith Brian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 8th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952370132 NPPES
New Jersey MEDICAID TZ7323107

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