Doctor Name: | PROF. CHRISTOPHA HONORATA ROZDEBA |
NPI Number: | 1013963032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA04189100 |
Business Practice Address: | 42 Locust Ave Wallington, NJ - 070571300 |
Business Phone Number: | 9737770090 |
Business Fax Number: | 9737779424 |
Mailing Address: | 42 Locust Ave, WALLINGTON |
State: | NJ |
Postal Code: | 070571300 |
Phone Number: | 9737770090 |
Fax Number: | 9737779424 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 06/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 25MA04189100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |