Organization · NPI-2

Bennett C. Rothenberg, M.D., F.A.C.S., L.L.C.

Surgery, Plastic and Reconstructive Surgery · Livingston, NJ

NPI number1578861373
StatusActive
Last updated in NPPESMar 3, 2011

Details

NPI
1578861373
Entity type
Organization (NPI-2)
Legal business name
Bennett C. Rothenberg, M.D., F.A.C.S., L.L.C.
Organization subpart
No
Enumeration date
Mar 3, 2011
Last updated
Mar 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive Surgery25MA05236700NJYes

Practice location

22 Old Short Hills Rd
Suite 101
Livingston, NJ 07039-5604

Phone 973-994-3311 · Fax 973-994-7005

Mailing address

22 Old Short Hills Rd
Suite 101
Livingston, NJ 07039-5604

Phone 973-994-3311 · Fax 973-994-7005

Authorized official

Bennett Charles Rothenberg
President
9739943311

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