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NPI Code Detail

MEDICARE: JENNIFER R. ROSZKOWSKI DO

MEDICARE: JENNIFER R. ROSZKOWSKI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOS015039PA
2207R00000XInternal Medicine Physician25MB09136800NJ
3207RS0012XSleep Medicine (Internal Medicine) Physician320632NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265697528
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER R. ROSZKOWSKI DO
Provider Business Mailing Address
First Line : 900 MEDICAL CENTER DR STE 205
Second Line :
City : SEWELL
State : NJ
Zip : 08080-2358
Country : US
Telephone Number : 844-542-2273
Fax Number : 856-553-4390
Provider Business Practice Location Address
First Line : 651 JOHN F KENNEDY WAY
Second Line : COOPER UNIVERSITY PHYSICIANS
City : WILLINGBORO
State : NJ
Zip : 08046-1262
Country : US
Telephone Number : 609-835-2838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2008
Last Update Date : 02/01/2019

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