Richard G Rosivack in Union - Pediatric Dentistry
Richard G Rosivack - NPI 1497822597
Richard G Rosivack is a Pediatric Dentistry in Union, New Jersey. Richard G Rosivack practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Richard G Rosivack is 1497822597. The last update date is 2017-05-02.
Richard G Rosivack's current location address is 381 Chestnut St, Union, New Jersey. You can contact this provider via phone number 9086862082 and fax number 9086862149. The mailing address for Richard G Rosivack is 381 Chestnut St, Union, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard G Rosivack |
|---|---|
| Address | 381 Chestnut St, Union, New Jersey |
| Phone Number | 9086862082 |
| Fax Number | 9086862149 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1497822597 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2017-05-02 |
Provider Mailing Address Detail
| Address | 381 Chestnut St |
|---|---|
| City | Union |
| State | New Jersey (NJ) |
| Post Code | 70839430 |
| Phone Number | 9086862082 |
| Fax Number | 9086862149 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 13763 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1345001 | NJ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Richard G Rosivack by the Centers for Medicare & Medicaid Services?
The Richard G Rosivack has been issued the NPI (National Provider Identifier) 1497822597. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Richard G Rosivack is physically located?
The Richard G Rosivack is physically situated at the following address: 381 Chestnut St, Union, NJ, 70839430.
What is the Richard G Rosivack's area of specialization and corresponding taxonomy classification?
The Richard G Rosivack's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497822597 to Richard G Rosivack?
The Centers for Medicare & Medicaid Services originally issued the 1497822597 to Richard G Rosivack on 2006-11-30.
As of what date were the details pertaining to Richard G Rosivack last refreshed?
The information related to the Richard G Rosivack, including its address, specialty, and other relevant details, was last updated on 2017-05-02.