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Contact Information

ROSA ITAL, MD
1140 BURNT TAVERN RD
BRICK, NJ08724-1496
 Phone: 732-477-2264
 Fax: 732-477-2599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROSA ITAL · (Female)

NPI Number 1831178235
Status Active
Credentials MD
Entity Individual
Enumeration date 01/13/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA06400000
  • Other D07019700 CDS LIC
  • NJ Other 25MA06400000 LIC
Hospital affiliation(s)
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • OCEAN MEDICAL CENTER - (Acute Care)
    425 JACK MARTIN BLVD
    BRICK, NJ 08724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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